go back

Iowa rates for HCPCS A4383

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $28.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.56 / $25.00 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $26.07 / $43.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.78 / $45.75 / $57.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.38 / $48.79 / $55.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.91 / $45.76 / $184.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.31 / $19.87 / $53.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.20 / $43.32 / $51.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.90 / $48.77 / $82.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $19.64 / $51.46
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.44 / $35.44 / $35.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $35.44 / $35.44