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Minnesota rates for HCPCS A5072

Ostomy Pouch Urinary; Without Barrier Attached (1piece) Each (Updated 01-01-2003) 30)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $3.15 / $3.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $3.15 / $3.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $5.25 / $6.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $4.79 / $4.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $15.52 / $43.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.96 / $7.14
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.21 / $14.75 / $33.94
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.63 / $6.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $4.94 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $2.31 / $4.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.46 / $7.69