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Iowa rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Facilitymedian $2 · 10th–90th $1–$790%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$0.0$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
$1.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $2.63 / $3.31
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $4.07 / $4.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $2.63 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.48 / $4.07
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.75 / $3.16
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $2.69
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $4.07 / $4.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.00 / $1.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.20 / $2.29
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.19 / $2.19