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Minnesota rates for HCPCS A4399

Ostomy Irrigation Supply; Cone/Catheter With Or Without Brush Cm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.93 / $10.93 / $10.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $10.93 / $12.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $18.29 / $24.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.71 / $16.63 / $17.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $52.76 / $146.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.88 / $21.07 / $25.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.32 / $50.62 / $115.39
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.88 / $19.88 / $20.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.83 / $17.14 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $8.07 / $17.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $7.27 / $20.81