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Minnesota rates for HCPCS A4384

Ostomy faceplate equivalent, silicone ring, each

Facilitymedian $31 · 10th–90th $8–$980%5%10%10th90th$31Professionalmedian $13 · 10th–90th $7–$150%20%40%10th90th$13$0.1$0.5$2.0$10.0$50.0

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
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $15.85 / $22.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.49 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $50.12 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $17.38 / $19.50
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $48.98 / $97.72
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $16.60
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $13.49 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.75 / $16.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $5.13 / $5.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $6.76 / $18.62