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Iowa rates for HCPCS A5073

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $2.83 / $3.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $2.81 / $3.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $4.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $4.82 / $6.56
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.82 / $7.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.99 / $5.12 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.24 / $5.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.82 / $4.88 / $5.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $5.54 / $9.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.18 / $5.72
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $3.94 / $3.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.94 / $3.94