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Wisconsin rates for HCPCS A4330

Perianal fecal collection pouch with adhesive, each

Facilitymedian $10 · 10th–90th $10$170%50%90th$10Professionalmedian $7 · 10th–90th $5$140%20%10th90th$7$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $7.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $16.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $29.51 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $13.49 / $19.05
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $8.32 / $14.45
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $14.45
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $10.00 / $22.39
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $5.01 / $50.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $11.48 / $19.95
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $15.14 / $26.30
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $12.30 / $50.12
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.90 / $7.94