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Minnesota rates for HCPCS A4423

Ostomy Pouch Closed; For Use On Barrier With Locking Flange With Filter (2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.65 / $1.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.78 / $3.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.50 / $2.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $8.27 / $22.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.18 / $3.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $7.86 / $18.10
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $2.59 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.23 / $2.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.23 / $2.61