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Iowa rates for HCPCS A4424

Ostomy pouch, drainable, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $4.22 / $5.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $7.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $7.32 / $9.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $6.65 / $9.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $7.72 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $3.35 / $9.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.29 / $7.32 / $8.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $7.87 / $13.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.32 / $7.88
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.99 / $5.99 / $5.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $5.99 / $5.99