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Iowa rates for HCPCS A5062

Ostomy pouch, drainable; without barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $1.86 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $3.72 / $4.68
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $4.57 / $5.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $3.31 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.78 / $4.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.31 / $3.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $4.90 / $4.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.32 / $2.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.45 / $2.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.63 / $2.63