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Iowa rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Facilitymedian $6 · 10th–90th $4–$790%20%10th90th$6Professionalmedian $5 · 10th–90th $3–$90%20%10th90th$5$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
$3.98 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $8.91 / $11.22
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $7.94 / $12.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $8.51 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.68 / $12.88
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.71 / $10.00
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $12.88 / $12.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $3.24 / $5.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.80 / $7.08
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.92 / $6.92