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Minnesota rates for HCPCS A4387

Ostomy pouch, closed, with barrier attached, with built-in convexity (one piece), each

Facilitymedian $8 · 10th–90th $2–$230%10%20%10th90th$8Professionalmedian $3 · 10th–90th $1–$40%50%10th90th$3$0.0$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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.72 / $5.37
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.16 / $3.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $11.22 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $4.27 / $4.79
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $12.02 / $23.44
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $5.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $3.16 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $1.32 / $3.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $1.20 / $2.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.58 / $4.37