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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
$33.11 / $33.11 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $33.11 / $43.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $61.66 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $52.48 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $194.98 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $66.07 / $75.86
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $194.98 / $371.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $66.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $52.48 / $245.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $21.88 / $57.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $19.95 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $24.55 / $60.26