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Iowa rates for HCPCS A4417

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (one piece), each

Facilitymedian $4 · 10th–90th $2–$790%10%20%10th90th$4Professionalmedian $3 · 10th–90th $2–$60%20%10th90th$3$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
$3.02 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $6.03 / $7.59
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $6.46 / $7.94
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $5.75 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $3.16 / $8.71
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.89 / $6.76
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $8.71 / $8.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $2.19 / $3.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.57 / $4.79
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $4.68 / $4.68