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Minnesota rates for HCPCS A4380

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

Facilitymedian $120 · 10th–90th $33–$3800%10%20%10th90th$120Professionalmedian $52 · 10th–90th $29–$600%50%10th90th$52$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$33.11 / $33.11 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $33.11 / $43.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $61.66 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $52.48 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $194.98 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $66.07 / $75.86
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $194.98 / $380.19
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $66.07
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $52.48 / $245.47
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $21.88 / $63.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $19.95 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $26.30 / $72.44