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Wisconsin rates for HCPCS A4372

Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each

Facilitymedian $6 · 10th–90th $5–$110%20%40%10th90th$6Professionalmedian $4 · 10th–90th $3–$90%20%10th90th$4$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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $9.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.62 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $17.78 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $6.92 / $11.22
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $5.13 / $8.51
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $10.23 / $12.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $5.89 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.95 / $6.46
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $6.76 / $11.75
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.91 / $15.85
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $12.02 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $3.80 / $29.51
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $2.69 / $4.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.95 / $4.68