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Minnesota rates for HCPCS A4426

Ostomy pouch, drainable; for use on barrier with locking flange (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $2.43 / $2.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $4.07 / $5.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.70 / $3.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $11.38 / $31.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $4.76 / $5.72
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $10.81 / $24.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.50 / $4.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $3.81 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.80 / $3.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.72 / $3.83