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Minnesota rates for HCPCS A4398

Ostomy irrigation supply; bag, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.31 / $12.31 / $12.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $12.31 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $20.62 / $27.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $18.73 / $19.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.60 / $60.00 / $166.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.50 / $23.85 / $28.58
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.61 / $57.57 / $131.22
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.50 / $22.50 / $23.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.44 / $19.30 / $89.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $8.83 / $19.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $8.19 / $21.94