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Minnesota rates for HCPCS A4411

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $8.32 / $12.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.08 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $26.30 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $9.33 / $10.47
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $26.30 / $50.12
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $9.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $7.08 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $7.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $2.75 / $2.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.39 / $8.32