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Minnesota rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $4.91 / $4.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $4.91 / $5.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $8.22 / $10.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $7.47 / $7.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $23.79 / $66.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.53 / $11.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $22.83 / $52.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $9.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $7.70 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $3.63 / $7.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $3.26 / $7.73