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Wisconsin rates for HCPCS A4328

Female external urinary collection device; pouch, each

Facilitymedian $15 · 10th–90th $14–$250%20%40%10th90th$15Professionalmedian $10 · 10th–90th $6–$210%10%10th90th$10$5.0$20.0$100.0$500.0$2.0K

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
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $12.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $24.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $44.67 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $16.60 / $28.18
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $12.30 / $21.38
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $19.05 / $23.99
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $14.45 / $33.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $7.24 / $72.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $16.60 / $28.84
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $22.39 / $38.90
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.89 / $72.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $7.24 / $11.75