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Iowa rates for HCPCS A4389

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

Facilitymedian $7 · 10th–90th $4–$790%10%20%10th90th$7Professionalmedian $5 · 10th–90th $4–$100%20%10th90th$5$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
$5.01 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $9.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $10.23 / $12.59
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.51 / $14.45
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $9.55 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $5.25 / $14.45
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $10.00 / $11.22
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $9.77
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $14.45 / $14.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $3.63 / $6.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.37 / $7.94
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $7.76 / $7.76