go back

Minnesota rates for HCPCS A4388

Ostomy Pouch Drainable With Extended Wear Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $3.89 / $4.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $6.51 / $8.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $5.91 / $6.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $18.62 / $51.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $7.55 / $9.05
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.06 / $17.87 / $40.72
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $7.13 / $7.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $6.09 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.89 / $6.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $2.35 / $2.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.59 / $6.12