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Iowa rates for HCPCS A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $4.15 / $5.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $7.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $7.18 / $9.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.53 / $7.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.65 / $7.46 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.26 / $8.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.18 / $7.18 / $8.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.61 / $8.40 / $13.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.26 / $6.22
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.88 / $5.88 / $5.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $5.88 / $5.88