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Iowa rates for HCPCS A5061

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

Facilitymedian $4 · 10th–90th $2–$790%10%20%10th90th$4Professionalmedian $3 · 10th–90th $2–$50%20%10th90th$3$0.1$0.2$1.0$5.0$20.0$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
$3.02 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $5.62 / $7.08
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $5.01 / $8.32
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $5.37 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $3.02 / $8.32
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.62 / $6.46
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $8.32 / $8.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $2.04 / $3.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.45 / $4.68
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.47 / $4.47