go back

Wisconsin rates for HCPCS A4382

Ostomy Pouch Urinary For Use On Faceplate Heavy Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $21.78 / $27.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $37.84 / $62.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.75 / $31.99 / $42.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.74 / $73.62 / $73.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.66 / $92.82 / $144.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $50.48 / $65.09
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.42 / $28.81 / $39.56
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.70 / $34.40 / $41.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.73 / $35.95 / $161.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.70 / $17.16 / $37.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.92 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.42 / $29.96 / $39.56
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.70 / $34.40 / $41.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $52.92 / $87.32
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.66 / $67.18 / $161.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $20.66 / $171.31
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $34.40 / $34.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $34.40 / $34.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.44 / $17.16 / $29.09