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Iowa rates for HCPCS A5071

Ostomy Pouch Urinary; With Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.35 / $5.35 / $6.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $5.33 / $7.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $9.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $9.24 / $12.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $9.26 / $12.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.68 / $9.76 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $4.23 / $10.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.19 / $9.24 / $11.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $9.97 / $17.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $4.19 / $9.85
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.56 / $7.56 / $7.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $7.56 / $7.56