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Minnesota rates for HCPCS A4420

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.86 / $10.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.86 / $1.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $2.02 / $2.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $2.48