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Minnesota rates for HCPCS A4392

Ostomy Pouch Urinary With Standard Wear Barrier Attached With Built-In Convexity (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $7.28 / $8.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $12.19 / $16.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.14 / $11.08 / $11.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $35.17 / $97.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.13 / $13.91 / $16.67
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.88 / $33.75 / $76.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.13 / $13.13 / $13.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.22 / $11.42 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $5.15 / $11.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $4.84 / $11.46