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Wisconsin rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Facilitymedian $7 · 10th–90th $6$130%20%40%10th90th$7Professionalmedian $5 · 10th–90th $3$110%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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $12.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.76 / $8.13
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $21.88 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $10.23 / $13.80
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $6.17 / $10.23
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $12.30 / $15.14
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $7.08 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.63 / $7.76
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $8.13 / $14.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.96 / $19.05
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $14.45 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $7.24 / $35.48
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $3.24 / $5.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.55 / $5.75