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Minnesota rates for HCPCS A4396

Ostomy Belt With Peristomal Hernia Support

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.07 / $36.07 / $36.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.71 / $36.07 / $41.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $60.37 / $79.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.25 / $54.86 / $56.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $174.84 / $485.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.63 / $69.56 / $83.34
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.80 / $167.75 / $382.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.63 / $65.63 / $67.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.48 / $56.56 / $265.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.99 / $26.79 / $73.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.99 / $26.63 / $74.66