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Iowa rates for HCPCS A4380

Ostomy Pouch Urinary With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.27 / $33.27 / $37.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.31 / $33.11 / $43.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.45 / $34.45 / $57.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.45 / $55.82 / $75.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.24 / $42.24 / $52.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.65 / $60.62 / $245.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.27 / $26.30 / $71.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.22 / $57.38 / $68.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.91 / $65.40 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.09 / $26.02 / $61.35
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.94 / $46.94 / $46.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.08 / $46.94 / $46.94