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Iowa rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Facilitymedian $6 · 10th–90th $4–$760%20%40%10th90th$6Professionalmedian $5 · 10th–90th $3–$90%20%10th90th$5$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
$5.01 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $9.33 / $11.75
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $12.30 / $13.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $9.12 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $5.37 / $13.49
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $9.12 / $21.88
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $13.49 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.47 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.98 / $7.59
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $7.24 / $7.24