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Miscellaneous Ostomy Supply

Iowa rates for HCPCS A4421

Ostomy supply; miscellaneous

Rates data updated October 2026.

How much does Miscellaneous Ostomy Supply cost?

$0.40

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $0.40 for this service. The price depends on where it is billed: about $0.40 from a physician practice, and about $5.01 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.40$0.40 to $5.01
FacilityA hospital or hospital-owned outpatient department$5.01$5.01 to $8.51

How much rates vary

Facilitymedian $5 · 10th to 90th $1 to $22Professionalmedian $0 · 10th to 90th $0 to $5
$0.5$2$10$50facility $5professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.76
Median
$0.76
Typical High
$0.76
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.50
Median
$0.50
Typical High
$0.50
Cigna
Setting
Facility
Modifier
None
Typical Low
$22.39
Median
$22.39
Typical High
$23.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$22.39
Typical High
$22.39
Hally Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
None
Typical Low
$0.48
Median
$5.01
Typical High
$8.91
Medica
Setting
Professional
Modifier
None
Typical Low
$0.48
Median
$0.48
Typical High
$0.91
Midlands
Setting
Professional
Modifier
None
Typical Low
$0.49
Median
$0.49
Typical High
$0.49
Midlands
Setting
Professional
Modifier
None
Typical Low
$0.93
Median
$0.93
Typical High
$0.93
Wellmark
Setting
Professional
Modifier
None
Typical Low
$0.40
Median
$0.40
Typical High
$0.40

Where Iowa sits

The same service costs 199.5 times more in Montana than in Iowa. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 51st of 51

$0.40

MT $79.43IA $0.40

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.