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Iowa rates for HCPCS A4391

Ostomy pouch, urinary, with extended wear barrier attached (one piece), each

Facilitymedian $8 · 10th–90th $4–$790%10%20%10th90th$8Professionalmedian $6 · 10th–90th $4–$110%20%10th90th$6$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
$6.03 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $11.75 / $14.45
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $12.30 / $15.14
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $11.22 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $6.03 / $16.60
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $11.22 / $12.88
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $16.60 / $16.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $4.17 / $6.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.90 / $9.12
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $8.91