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Iowa rates for HCPCS A4381

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

Facilitymedian $5 · 10th–90th $3–$790%10%20%10th90th$5Professionalmedian $4 · 10th–90th $3–$80%20%10th90th$4$0.1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $5.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.59 / $9.33
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $13.49 / $14.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $7.41 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.89 / $10.72
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.41 / $8.32
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $10.72 / $10.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $2.69 / $4.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.24 / $5.89
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $5.75 / $5.75