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Iowa rates for HCPCS A4392

Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (one piece), each

Facilitymedian $9 · 10th–90th $5–$790%20%10th90th$9Professionalmedian $7 · 10th–90th $5–$130%20%10th90th$7$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
$7.08 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $13.18 / $16.60
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $16.60 / $18.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $12.59 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.92 / $19.05
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.88 / $14.79
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $19.05 / $19.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $4.79 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $5.75 / $10.47
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.23 / $10.23