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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
$26.92 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $26.92 / $36.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $50.12 / $74.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $42.66 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $162.18 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $56.23 / $63.10
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $158.49 / $302.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $53.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $42.66 / $199.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $18.20 / $46.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $16.60 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $20.42 / $50.12