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Iowa rates for HCPCS A5061

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $3.15 / $3.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $3.13 / $4.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $2.97 / $5.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $5.43 / $7.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $4.99 / $7.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.37 / $5.73 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.49 / $6.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.41 / $5.43 / $6.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $6.35 / $10.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.46 / $6.42
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $4.45 / $4.45