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Minnesota rates for HCPCS A4433

Ostomy Pouch Urinary; For Use On Barrier With Locking Flange (2 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.99 / $2.99 / $2.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.99 / $3.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $4.99 / $6.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $4.55 / $4.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $14.48 / $40.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.57 / $6.67
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.60 / $13.76 / $31.68
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $4.69 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.11 / $4.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.21 / $5.86