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Iowa rates for HCPCS A4387

Ostomy pouch, closed, with barrier attached, with built-in convexity (one piece), each

Facilitymedian $3 · 10th–90th $2–$890%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$40%20%40%10th90th$2$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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $3.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $3.72 / $4.68
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.79 / $5.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $4.07 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $2.69 / $5.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.63 / $8.51
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $5.25 / $5.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $2.00 / $3.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.58 / $3.98
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.82 / $2.82