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Minnesota rates for HCPCS A4387

Ostomy Pouch Closed With Barrier Attached With Built-In Convexity (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $2.00 / $2.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3.35 / $4.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.05 / $3.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $9.31 / $25.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.96 / $4.76
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.53 / $8.93 / $20.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $3.75 / $3.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $3.14 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.48 / $3.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.49 / $4.24