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Minnesota rates for HCPCS A4409

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.53 / $5.53 / $5.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $5.53 / $6.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $9.27 / $12.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $8.41 / $8.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $26.90 / $74.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.73 / $12.86
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.97 / $25.81 / $58.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.13 / $10.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $8.67 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $4.33 / $9.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $3.68 / $8.72