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Wisconsin rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Facilitymedian $21 · 10th–90th $18$390%20%40%10th90th$21Professionalmedian $16 · 10th–90th $10$320%10%20%10th90th$16$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
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.02
Typical High
$18.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$35.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$19.95
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$66.07
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$25.12
Typical High
$40.74
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$18.20
Typical High
$30.20
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$20.89
Typical High
$26.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$20.89
Typical High
$97.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.47
Typical High
$22.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Network Health
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$23.99
Typical High
$41.69
Quartz
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$32.36
Typical High
$56.23
Quartz
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$42.66
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$13.80
Typical High
$104.71
Security Health
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Security Health
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$9.55
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$10.47
Typical High
$16.98