go back

Iowa rates for HCPCS A4412

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), without filter, each

Facilitymedian $3 · 10th–90th $2–$790%10%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$40%20%40%10th90th$2$0.0$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
$2.00 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $4.47 / $5.62
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $9.77 / $10.72
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $4.17 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.29 / $6.31
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.27 / $4.90
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $6.31 / $6.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.58 / $2.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.86 / $3.47
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.39 / $3.39