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Iowa rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Facilitymedian $3 · 10th–90th $2–$790%10%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$40%20%40%10th90th$2$0.1$0.2$1.0$5.0$20.0$100.0

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 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $4.47 / $5.62
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.98 / $5.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $4.27 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $2.34 / $6.46
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.37 / $5.01
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $4.37
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $6.46 / $6.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.62 / $2.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.91 / $3.55
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.47 / $3.47