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Ostomy Irrigation Cone or Catheter, with or without Brush

Iowa rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Rates data updated July 2026.

How much does Ostomy Irrigation Cone or Catheter, with or without Brush cost?

$12.02

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $12.59 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.02$9.33 to $13.80
FacilityA hospital or hospital-owned outpatient department$12.59$10.96 to $16.22

How much rates vary

Facilitymedian $13 · 10th to 90th $7 to $36Professionalmedian $12 · 10th to 90th $8 to $25
$5$10$20$50facility $13professional $12

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$12.30
Typical High
$12.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.02
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$16.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$19.95
Typical High
$25.12
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$29.51
Typical High
$33.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$16.98
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$9.33
Typical High
$24.55
Midlands
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$16.98
Typical High
$19.95
Midlands
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Midlands
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$7.76
Typical High
$14.79
United
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$7.24
Typical High
$16.98
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$12.02
Typical High
$12.02

Where Iowa sits

The same service costs 2.2 times more in Wisconsin than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 21st of 51

$12.02

WI $17.38CO $7.76

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.