go back

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $8.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $7.55 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $13.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $13.09 / $17.34
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.90 / $19.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $13.82 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $6.00 / $16.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.05 / $13.09 / $15.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.24 / $14.42 / $25.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $5.93 / $11.33
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.71 / $10.71 / $10.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $10.71 / $10.71