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Minnesota rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Facilitymedian $21 · 10th–90th $5$660%5%10%10th90th$21Professionalmedian $9 · 10th–90th $5$100%20%40%10th90th$9$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $10.72 / $15.85
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $9.12 / $9.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $33.88 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $11.75 / $13.49
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $33.88 / $66.07
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $11.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $9.12 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.89 / $10.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.06 / $3.55 / $3.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.57 / $12.59