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Iowa rates for HCPCS A4415

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each

Facilitymedian $7 · 10th–90th $4–$790%10%20%10th90th$7Professionalmedian $5 · 10th–90th $3–$100%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
$5.01 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $9.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $9.77 / $12.30
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.47 / $12.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $9.55 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $5.13 / $14.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.55 / $10.96
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $14.13 / $14.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.55 / $5.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.17 / $7.76
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.59 / $7.59