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Iowa rates for HCPCS A4427

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $2.49 / $2.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $2.48 / $3.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $4.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $4.29 / $5.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.93 / $7.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $4.54 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.97 / $5.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $4.29 / $5.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $4.59 / $8.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.94 / $4.62
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $3.51 / $3.51