go back

Iowa rates for HCPCS A4394

Ostomy Deodorant With Or Without Lubricant For Use In Ostomy Pouch Per Fluid Ounce

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $2.29 / $3.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.98 / $5.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $3.62 / $5.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $4.22 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.82 / $4.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $4.00 / $4.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $4.44 / $7.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.81 / $4.28
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.26 / $3.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $3.26 / $3.26