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Minnesota rates for HCPCS A4425

Ostomy Pouch Drainable; For Use On Barrier With Non-Locking Flange With Filter (2 Piece System) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $3.19 / $3.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $5.34 / $7.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.84 / $5.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $15.52 / $43.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.96 / $7.14
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.21 / $14.75 / $33.94
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.63 / $6.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $5.00 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $2.43 / $5.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $2.36 / $7.80