go back

Iowa rates for HCPCS A4367

Ostomy Belt Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.56 / $6.56 / $7.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $6.53 / $7.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $10.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $10.37 / $15.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.98 / $10.28 / $17.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.45 / $11.95 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $5.13 / $12.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.37 / $11.31 / $13.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.85 / $12.17 / $19.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.70 / $12.32
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.49 / $8.49 / $8.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $8.49 / $8.49