go back

Minnesota rates for HCPCS A5051

Ostomy Pouch Closed; With Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.84 / $1.84 / $1.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.84 / $2.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3.08 / $4.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.79 / $2.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $9.31 / $25.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $3.58 / $4.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.53 / $8.85 / $20.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $3.38 / $3.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $2.88 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $1.36 / $2.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $1.22 / $2.90