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Minnesota rates for HCPCS A4435

Ostomy Pouch Drainable High Output With Extended Wear Barrier(One-Piece System) With Or Without Filter Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $5.13 / $5.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $8.61 / $11.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $7.81 / $8.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $24.83 / $68.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $9.94 / $11.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.74 / $23.82 / $54.30
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $9.38 / $9.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $8.05 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.79 / $8.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.42 / $8.09