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Iowa rates for HCPCS A4426

Ostomy pouch, drainable; for use on barrier with locking flange (two-piece system), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $2.42 / $3.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $4.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $4.19 / $5.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $5.47 / $6.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $4.42 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.93 / $5.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.18 / $4.19 / $5.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $4.51 / $8.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.90 / $4.95
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $3.43 / $3.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $3.43 / $3.43