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Minnesota rates for HCPCS A4422

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

Facilitymedian $1 · 10th–90th $0–$20%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
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.14 / $0.18 / $0.27
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.15 / $0.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $1.26 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.42 / $0.48
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $1.20 / $2.34
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.38 / $0.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $0.15 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.07 / $0.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.06 / $0.06 / $0.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.08 / $0.21