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Iowa rates for HCPCS A4388

Ostomy Pouch Drainable With Extended Wear Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $4.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $3.87 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $6.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $6.70 / $8.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $6.09 / $9.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $7.09 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.08 / $7.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.68 / $6.70 / $8.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.26 / $7.76 / $12.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.37 / $3.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.04 / $7.16
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.48 / $5.48 / $5.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $5.48 / $5.48