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Iowa rates for HCPCS A5072

Ostomy Pouch Urinary; Without Barrier Attached (1piece) Each (Updated 01-01-2003) 30)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $3.15 / $3.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $3.12 / $4.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $5.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $5.18 / $7.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.20 / $4.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.37 / $5.68 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.49 / $6.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.31 / $5.43 / $6.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $6.35 / $10.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $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