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Iowa rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $1.53 / $1.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.53 / $2.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $2.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.63 / $3.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.68 / $3.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $2.81 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.22 / $3.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $2.65 / $3.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $3.09 / $5.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.21 / $2.06
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $2.17 / $2.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.17 / $2.17