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Minnesota rates for HCPCS A5057

Ostomy Pouch Drainable With Extended Wear Barrier Attached With Built In Convexity With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.56 / $8.56 / $8.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $8.56 / $9.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $14.32 / $18.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $13.01 / $13.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $41.38 / $114.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.38 / $16.30 / $19.53
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.57 / $39.70 / $90.50
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.38 / $15.38 / $16.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $13.41 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $6.70 / $14.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $5.69 / $17.70