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Minnesota rates for HCPCS A5063

Ostomy Pouch Drainable; For Use On Barrier With Flange (2 Piece System) Each Ly. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.41 / $2.41 / $2.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $2.41 / $2.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $4.03 / $5.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.67 / $3.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $11.38 / $31.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $4.76 / $5.72
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $10.92 / $24.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.50 / $4.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $3.78 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.98 / $4.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.60 / $3.79