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Minnesota rates for HCPCS A4429

Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $7.35 / $8.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $12.29 / $16.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.22 / $11.18 / $11.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $35.17 / $97.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.50 / $14.31 / $17.14
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.88 / $33.75 / $76.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.50 / $13.50 / $13.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $11.53 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $5.19 / $11.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $4.79 / $11.57