go back

Minnesota rates for HCPCS A4391

Ostomy pouch, urinary, with extended wear barrier attached (one piece), each

Facilitymedian $23 · 10th–90th $6–$740%5%10%10th90th$23Professionalmedian $10 · 10th–90th $5–$120%20%40%10th90th$10$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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $11.48 / $16.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $9.77 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $36.31 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $12.88 / $14.79
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $37.15 / $74.13
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $12.30
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $9.77 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $4.17 / $10.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.06 / $3.80 / $3.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.90 / $13.49