go back

Wisconsin rates for HCPCS A4378

Ostomy Pouch Drainable For Use On Faceplate Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.94 / $24.94 / $24.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.94 / $27.20 / $34.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.96 / $47.26 / $78.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $39.95 / $52.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $91.93 / $91.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $115.34 / $179.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $63.34 / $81.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.76 / $35.97 / $49.40
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.60 / $42.96 / $51.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.91 / $44.89 / $201.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.11 / $21.43 / $46.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.64 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.76 / $37.40 / $49.40
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.60 / $42.96 / $51.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.96 / $66.09 / $109.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $83.90 / $201.75
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $25.81 / $213.94
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.96 / $42.96 / $42.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.96 / $42.96 / $42.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.29 / $21.43 / $42.96