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Wisconsin rates for HCPCS A4378

Ostomy pouch, drainable, for use on faceplate, rubber, each

Facilitymedian $44 · 10th–90th $38$790%20%40%10th90th$44Professionalmedian $34 · 10th–90th $21$660%10%20%10th90th$34$20.0$50.0$100.0$200.0

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
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $25.12 / $36.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $134.90 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $61.66 / $83.18
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $37.15 / $61.66
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $64.57 / $79.43
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $42.66 / $199.53
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $21.38 / $46.77
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $48.98 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $66.07 / $114.82
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $87.10 / $204.17
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $43.65 / $213.80
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $19.50 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $21.38 / $34.67