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Iowa rates for HCPCS A5051

Ostomy pouch, closed; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.84 / $1.84 / $2.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.83 / $2.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $3.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $3.17 / $4.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $3.80 / $4.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.98 / $3.70 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.46 / $3.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.17 / $3.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $3.42 / $6.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.44 / $3.74
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.59 / $2.59