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Minnesota rates for HCPCS A4383

Ostomy Pouch Urinary For Use On Faceplate Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $25.12 / $28.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $42.04 / $55.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $38.20 / $39.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $121.04 / $336.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.75 / $48.50 / $58.10
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.86 / $116.13 / $264.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.75 / $45.75 / $46.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.10 / $39.38 / $184.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.14 / $18.54 / $39.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.14 / $18.54 / $39.54