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Wisconsin rates for HCPCS A4381

Ostomy pouch, urinary, for use on faceplate, plastic, each

Facilitymedian $7 · 10th–90th $6$120%20%40%10th90th$7Professionalmedian $5 · 10th–90th $3$100%10%20%10th90th$5$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
$3.02 / $3.02 / $5.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $6.17 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $19.95 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $9.33 / $12.59
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $5.62 / $9.33
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $13.18 / $16.22
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $6.46 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.24 / $7.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $7.41 / $12.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $10.00 / $16.98
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $13.18 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $6.61 / $32.36
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.95 / $4.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $3.24 / $5.25