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Minnesota rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.38 / $13.38 / $13.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $13.38 / $15.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $22.39 / $29.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.78 / $20.35 / $20.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $65.18 / $181.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.38 / $25.84 / $30.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.69 / $62.53 / $142.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.38 / $24.38 / $25.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.92 / $20.98 / $98.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $9.88 / $21.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $9.94 / $27.27