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Minnesota rates for HCPCS A4414

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $4.38 / $4.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $4.38 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $7.34 / $9.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.66 / $6.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $20.69 / $57.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $8.35 / $10.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.28 / $19.85 / $45.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $8.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $6.87 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $3.26 / $7.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $3.10 / $8.85