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Minnesota rates for HCPCS A4424

Ostomy pouch, drainable, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $4.24 / $4.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $7.10 / $9.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $6.45 / $6.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $20.69 / $57.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $8.35 / $10.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.28 / $19.85 / $45.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $8.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $6.65 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $3.15 / $7.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $3.32 / $10.37