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Wisconsin rates for HCPCS A4367

Ostomy belt, each

Facilitymedian $10 · 10th–90th $9$190%20%40%10th90th$10Professionalmedian $7 · 10th–90th $5$160%10%20%10th90th$7$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 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.03 / $7.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $17.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.77 / $11.75
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $32.36 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $15.14 / $19.95
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $8.91 / $14.79
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $19.50 / $24.55
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $10.23 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.13 / $11.22
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $11.75 / $20.42
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $15.85 / $27.54
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $20.89 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $10.47 / $51.29
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $4.68 / $7.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $5.13 / $8.32