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Iowa rates for HCPCS A4413

Ostomy Pouch Drainable High Output For Use On A Barrier With Flange (2 Piece System) With Filter Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $4.91 / $5.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $4.88 / $6.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $4.62 / $8.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $8.47 / $11.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $7.90 / $12.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $8.94 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $3.89 / $10.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.44 / $8.47 / $10.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.62 / $9.90 / $16.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $3.84 / $10.01
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.93 / $6.93 / $6.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.47 / $6.93 / $6.93