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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
$1.99 / $1.99 / $1.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.99 / $2.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3.32 / $4.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.03 / $3.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $9.31 / $25.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.96 / $4.76
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.53 / $8.93 / $20.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $3.75 / $3.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $3.12 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.45 / $3.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $2.09 / $5.27