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Minnesota rates for HCPCS A5093

Ostomy Accessory; Convex Insert (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.74 / $1.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.92 / $3.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.65 / $2.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $8.27 / $22.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.18 / $3.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $7.86 / $18.10
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $2.73 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $1.24 / $2.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.36 / $4.26