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Iowa rates for HCPCS A4423

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

Facilitymedian $2 · 10th–90th $1–$790%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$0.0$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $2.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $3.02 / $3.72
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.02 / $7.41
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $2.95 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.58 / $4.37
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $2.95 / $3.39
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $4.37 / $4.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $1.10 / $1.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.29 / $2.40
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.34 / $2.34