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Minnesota rates for HCPCS A4383

Ostomy pouch, urinary, for use on faceplate, rubber, each

Facilitymedian $91 · 10th–90th $25–$2880%10%20%10th90th$91Professionalmedian $40 · 10th–90th $22–$460%50%10th90th$40$0.1$0.2$1.0$5.0$20.0$100.0

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
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $25.12 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $45.71 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $147.91 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $50.12 / $57.54
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $147.91 / $288.40
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $50.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $39.81 / $186.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $16.60 / $46.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.26 / $15.14 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $19.50 / $53.70