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Minnesota rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Facilitymedian $9 · 10th–90th $2–$280%10%10th90th$9Professionalmedian $4 · 10th–90th $2–$40%50%10th90th$4$0.1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $4.47 / $6.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.89 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $13.80 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $5.01 / $5.75
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $14.45 / $28.18
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $3.89 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.62 / $4.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $1.48 / $1.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.91 / $5.37