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Minnesota rates for HCPCS A5062

Ostomy pouch, drainable; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $3.63 / $5.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $3.09 / $3.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $11.22 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.27 / $4.79
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $12.02 / $21.38
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.72 / $3.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $3.09 / $6.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.32 / $3.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $1.20 / $1.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.45 / $3.63