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Ostomy Absorbent Material to Thicken Stomal Output

Minnesota rates for HCPCS A4422

Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $0$30%10%10th90th$1Professionalmedian $0 · 10th–90th $0$00%50%10th90th$0$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
Setting
Facility
Modifier
Global
Typical Low
$0.10
Median
$0.10
Typical High
$0.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.06
Median
$0.10
Typical High
$0.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.14
Median
$0.18
Typical High
$0.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.12
Median
$0.15
Typical High
$0.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.72
Median
$1.23
Typical High
$3.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.38
Median
$0.43
Typical High
$0.48
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$0.93
Median
$1.35
Typical High
$2.63
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$0.38
Median
$0.38
Typical High
$0.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.07
Median
$0.15
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.04
Median
$0.07
Typical High
$0.17
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$0.06
Typical High
$0.07
United
Setting
Professional
Modifier
Global
Typical Low
$0.05
Median
$0.08
Typical High
$0.21