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Minnesota rates for HCPCS A4420

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

Facilitymedian $6 · 10th–90th $1–$190%20%10th90th$6Professionalmedian $2 · 10th–90th $1–$20%50%10th$2$1.0$2.0$5.0$10.0$20.0$50.0$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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $3.98 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $7.76 / $18.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.86 / $1.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $1.74 / $2.04
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.09 / $3.55