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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $5.11 / $6.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $8.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $9.38 / $11.99
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $11.86 / $13.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $10.34 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $4.01 / $11.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.86 / $8.86 / $10.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $10.34 / $16.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $4.01 / $7.66
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.25 / $7.25 / $7.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $7.25 / $7.25