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Minnesota rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $2.31 / $2.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3.86 / $5.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $3.51 / $3.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $11.38 / $31.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.37 / $5.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $10.81 / $24.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $3.62 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.81 / $3.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.81 / $5.64