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Minnesota rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $2.83 / $2.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.83 / $3.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $4.73 / $6.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.30 / $4.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $13.45 / $37.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.57 / $6.67
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.98 / $12.90 / $29.41
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $5.25 / $5.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $4.44 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.09 / $4.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.88 / $4.46