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Minnesota rates for HCPCS A4377

Ostomy Pouch Drainable For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $3.82 / $3.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $3.82 / $4.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $6.40 / $8.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.81 / $5.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $18.62 / $51.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $7.55 / $9.05
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.06 / $17.87 / $40.72
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $7.13 / $7.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $5.99 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.83 / $6.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.54 / $5.99