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Minnesota rates for HCPCS A4427

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $2.49 / $2.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.49 / $2.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $4.13 / $5.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.78 / $3.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $12.41 / $34.47
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
$7.37 / $11.80 / $27.15
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $4.50 / $4.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $3.90 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.85 / $3.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.65 / $3.90