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Iowa rates for HCPCS A4421

Ostomy Supply; Miscellaneous (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.55 / $22.55 / $22.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $22.55 / $23.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $5.00 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $1.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.94 / $1.00
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.40 / $0.40