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Iowa rates for HCPCS A4423

Ostomy Pouch Closed; For Use On Barrier With Locking Flange With Filter (2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.64 / $2.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $2.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.85 / $3.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.96 / $7.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $3.03 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.31 / $3.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $2.90 / $3.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $3.32 / $5.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.30 / $3.37
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.33 / $2.33 / $2.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.33 / $2.33