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Minnesota rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Facilitymedian $5 · 10th–90th $1–$170%10%10th90th$5Professionalmedian $2 · 10th–90th $1–$30%50%10th90th$2$0.0$0.1$0.5$2.0$10.0$50.0

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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.82 / $4.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.40 / $2.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $8.91 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.95 / $3.31
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $8.51 / $16.60
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $3.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $2.40 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $1.02 / $2.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.93 / $0.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $1.20 / $3.31