go back

Minnesota rates for HCPCS A4434

Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.35 / $3.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $5.61 / $7.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $5.09 / $5.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $16.55 / $45.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.36 / $7.62
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.83 / $15.73 / $36.20
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $5.25 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.37 / $5.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.23 / $7.43