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Wisconsin rates for HCPCS A4369

Ostomy skin barrier, liquid (spray, brush, etc.), per oz

Facilitymedian $3 · 10th–90th $3$60%20%40%10th90th$3Professionalmedian $2 · 10th–90th $1$50%10%20%10th90th$2$1.0$2.0$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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.70 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $5.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.24 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $10.47 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $4.68 / $6.61
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $2.95 / $4.90
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $6.46 / $8.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $3.39 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.70 / $3.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.89 / $6.76
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $5.25 / $9.55
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $6.92 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $3.47 / $18.20
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $3.47
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $3.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.55 / $2.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.70 / $2.75