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Iowa rates for HCPCS A4384

Ostomy Faceplate Equivalent Silicone Ring Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.56 / $8.56 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $8.52 / $11.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.07 / $14.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.31 / $14.76 / $19.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $14.79 / $16.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.19 / $15.61 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $6.78 / $18.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $14.76 / $17.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.57 / $16.63 / $28.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $5.22 / $8.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $6.70 / $15.81
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.08 / $12.08 / $12.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.53 / $12.08 / $12.08