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Iowa rates for HCPCS A5052

Ostomy pouch, closed; without barrier attached (one piece), each

Facilitymedian $1 · 10th–90th $1–$790%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$1.0$2.0$5.0$10.0$20.0$50.0$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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $2.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $2.24 / $2.82
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $6.61 / $7.41
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $2.29 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $1.26 / $3.47
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.34 / $2.69
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $2.34
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $3.47 / $3.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.87 / $1.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.05 / $2.00
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.86 / $1.86