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Minnesota rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Facilitymedian $16 · 10th–90th $4–$520%10%10th90th$16Professionalmedian $7 · 10th–90th $4–$80%50%10th90th$7$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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $8.32 / $12.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $7.08 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $26.30 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $9.12 / $10.47
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $26.30 / $52.48
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $9.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $7.08 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.55 / $8.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.05 / $2.75 / $2.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.55 / $9.77