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Iowa rates for HCPCS A4404

Ostomy Ring Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $1.49 / $1.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $1.44 / $1.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $2.19 / $3.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.56 / $3.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $2.57 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.15 / $2.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.57 / $3.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.62 / $4.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $1.00 / $2.61
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $1.79 / $1.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.79 / $1.79