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Iowa rates for HCPCS A4433

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

Facilitymedian $3 · 10th–90th $2–$790%20%10th90th$3Professionalmedian $3 · 10th–90th $2–$50%20%40%10th90th$3$0.1$0.2$1.0$5.0$20.0$100.0

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
$2.00 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $5.25 / $6.61
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $5.13 / $5.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $5.13 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.82 / $7.76
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.37 / $6.17
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.76 / $7.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.95 / $3.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.34 / $4.27
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.27 / $4.27