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Iowa rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Facilitymedian $5 · 10th–90th $4–$790%20%10th90th$5Professionalmedian $4 · 10th–90th $3–$70%20%10th90th$4$0.1$0.5$2.0$10.0$50.0

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 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $8.32 / $10.23
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.08 / $7.94
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $7.76 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.37 / $10.47
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $8.13 / $9.33
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $12.02 / $12.02
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $3.02 / $5.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.55 / $6.46
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.46 / $6.46