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Minnesota rates for HCPCS A4381

Ostomy Pouch Urinary For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.12 / $4.12 / $4.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $4.12 / $4.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $6.91 / $9.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.17 / $6.27 / $6.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $19.66 / $54.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $7.95 / $9.52
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.67 / $18.86 / $42.99
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $7.50 / $7.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $6.46 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $3.04 / $6.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $2.90 / $8.08