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Iowa rates for HCPCS A4381

Ostomy pouch, urinary, for use on faceplate, plastic, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.12 / $4.12 / $4.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $4.09 / $5.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $7.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $7.11 / $9.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $13.03 / $14.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $7.59 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.26 / $8.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.09 / $7.11 / $8.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $7.76 / $13.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $3.23 / $7.61
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $5.81 / $5.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $5.81 / $5.81