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Iowa rates for HCPCS A4405

Ostomy Skin Barrier Non-Pectin Based Paste Per Ounce

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $3.03 / $4.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $5.25 / $7.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $6.61 / $7.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $6.13 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.40 / $6.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.23 / $5.25 / $6.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $5.65 / $10.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.38 / $5.53
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.29 / $4.29