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Iowa rates for HCPCS A4377

Ostomy Pouch Drainable For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $3.82 / $4.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $3.80 / $5.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $6.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $6.59 / $8.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $9.31 / $10.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $6.97 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $3.03 / $8.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.57 / $6.59 / $7.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.17 / $7.70 / $12.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.99 / $7.79
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $5.39 / $5.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $5.39 / $5.39