go back

Minnesota rates for HCPCS A4382

Ostomy pouch, urinary, for use on faceplate, heavy plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $20.89 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $40.74 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $34.67 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $128.82 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $45.71 / $50.12
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $128.82 / $245.47
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $42.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $34.67 / $162.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $14.45 / $38.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $13.18 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $16.22 / $39.81