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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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $5.25 / $7.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.47 / $4.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $16.22 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.03 / $6.61
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $16.98 / $30.90
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $4.47 / $8.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.86 / $4.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $1.70 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.09 / $5.13