go back

Minnesota rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Facilitymedian $19 · 10th–90th $5–$590%10%10th90th$19Professionalmedian $8 · 10th–90th $4–$90%20%40%10th90th$8$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $9.33 / $13.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.13 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $30.20 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $10.47 / $12.02
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $30.20 / $58.88
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $12.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $8.13 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.39 / $8.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.05 / $3.09 / $3.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.98 / $10.96