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Minnesota rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.81 / $7.81 / $7.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $7.81 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $13.07 / $17.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $11.87 / $12.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $37.24 / $103.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $15.11 / $18.10
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.11 / $35.72 / $81.45
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $14.25 / $14.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $12.24 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $6.11 / $13.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $4.72 / $5.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $5.19 / $12.29