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Minnesota rates for HCPCS A4431

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.53 / $5.53 / $5.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $5.53 / $6.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $9.27 / $12.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $8.41 / $8.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $26.90 / $74.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.73 / $12.86
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.97 / $25.81 / $58.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.13 / $10.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $8.67 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $3.91 / $8.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $3.68 / $8.72