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Iowa rates for HCPCS A4430

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Facilitymedian $9 · 10th–90th $5–$790%20%10th90th$9Professionalmedian $8 · 10th–90th $5–$130%20%10th90th$8$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
$7.08 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $13.80 / $17.38
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $12.02 / $19.05
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $13.18 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $19.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.49 / $15.49
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $19.95 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $5.01 / $8.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $5.89 / $10.96
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.72 / $10.72