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Iowa rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Facilitymedian $3 · 10th–90th $2–$790%20%10th90th$3Professionalmedian $2 · 10th–90th $2–$50%20%40%10th90th$2$0.1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $4.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $5.25 / $6.61
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.90 / $7.24
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $4.90 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.69 / $6.61
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.01 / $5.75
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $5.01
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $7.41 / $7.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.86 / $3.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.19 / $4.17
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.98 / $3.98