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Iowa rates for HCPCS A5062

Ostomy Pouch Drainable; Without Barrier Attached (1 Piece) Each(Updated 01-01-2003) 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.98 / $2.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $3.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $3.19 / $4.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $3.66 / $5.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $3.73 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.50 / $3.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.55 / $6.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.45 / $3.80
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.61 / $2.61