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Minnesota rates for HCPCS A4378

Ostomy pouch, drainable, for use on faceplate, rubber, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.40 / $27.40 / $27.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.77 / $27.40 / $31.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $45.85 / $60.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.36 / $41.67 / $42.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $132.41 / $367.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.88 / $52.87 / $63.34
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.62 / $127.05 / $289.60
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.88 / $49.88 / $51.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.11 / $42.96 / $201.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.14 / $20.22 / $43.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.14 / $28.88 / $75.45