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Minnesota rates for HCPCS A4380

Ostomy Pouch Urinary With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.27 / $33.27 / $33.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $33.27 / $37.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $55.67 / $73.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.73 / $50.60 / $52.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $161.38 / $448.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.38 / $64.00 / $76.68
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.82 / $154.85 / $352.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.38 / $60.38 / $62.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.71 / $52.16 / $245.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $24.55 / $52.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $24.55 / $68.84