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Minnesota rates for HCPCS A4379

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

Facilitymedian $49 · 10th–90th $13–$1550%5%10%10th90th$49Professionalmedian $21 · 10th–90th $12–$250%20%40%10th90th$21$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $16.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $24.55 / $36.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $20.89 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $79.43 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $26.92 / $30.90
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $77.62 / $154.88
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $25.70
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $20.89 / $97.72
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.91 / $25.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.14 / $8.13 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $10.47 / $28.84