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Wisconsin rates for HCPCS A4357

Bedside drainage bag, day or night, with or without antireflux device, with or without tube, each

Facilitymedian $14 · 10th–90th $12–$250%20%40%10th90th$14Professionalmedian $10 · 10th–90th $6–$220%10%20%10th90th$10$5.0$10.0$20.0$50.0$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
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $7.08 / $10.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $22.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.88 / $15.14
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $41.69 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $19.50 / $26.30
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $11.75 / $19.50
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $25.12 / $30.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $13.49 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.92 / $15.14
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $54.95 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $15.49 / $26.92
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $20.89 / $35.48
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $27.54 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $13.80 / $67.61
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $6.17 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $6.76 / $12.59