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Wisconsin rates for HCPCS A4358

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each

Facilitymedian $10 · 10th–90th $9–$170%20%40%10th90th$10Professionalmedian $6 · 10th–90th $4–$160%10%20%10th90th$6$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
$5.01 / $5.01 / $14.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $10.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $15.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.71 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $28.18 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $13.18 / $17.78
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $8.32 / $13.80
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $15.14 / $19.05
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $9.33 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.68 / $10.72
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
$14.79 / $14.79 / $14.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $10.72 / $18.62
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $14.13 / $23.99
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $18.62 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $9.55 / $45.71
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $4.27 / $9.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.57 / $12.30