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Minnesota rates for HCPCS A4430

Ostomy pouch, urinary, with extended wear 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
$7.59 / $7.59 / $7.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $7.59 / $8.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $12.69 / $16.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $11.54 / $11.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $36.21 / $100.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.88 / $14.71 / $17.62
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.50 / $34.74 / $79.19
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.88 / $13.88 / $14.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $11.90 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $5.60 / $12.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $5.60 / $15.71