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Iowa rates for HCPCS A5093

Ostomy Accessory; Convex Insert (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.73 / $2.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $3.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $3.00 / $3.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.07 / $4.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $3.51 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.38 / $3.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $3.32 / $5.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.36 / $3.55
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $2.46 / $2.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.46 / $2.46