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Iowa rates for HCPCS A5054

Ostomy pouch, closed; for use on barrier with flange (two piece), each

Facilitymedian $2 · 10th–90th $1–$790%10%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
$1.51 / $1.51 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $3.02 / $3.72
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $3.24 / $3.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $2.75 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.51 / $4.17
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $2.88 / $3.24
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $2.82
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $4.17 / $4.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $1.07 / $1.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $1.26 / $2.40
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.24 / $2.24