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Iowa rates for HCPCS A4420

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

Facilitymedian $1 · 10th–90th $1–$30%20%10th90th$1Professionalmedian $2 · 10th–90th $2–$30%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $1.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.04 / $2.40
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.51 / $2.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $1.15 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.09 / $2.40
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.40
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $69.18 / $83.18
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.00 / $2.00