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Wisconsin rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Facilitymedian $4 · 10th–90th $3$70%20%40%10th90th$4Professionalmedian $3 · 10th–90th $2$50%20%10th90th$3$1.0$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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $6.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.47 / $4.17
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $11.48 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $5.13 / $7.08
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $3.16 / $5.25
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.90 / $6.03
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $3.63 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.82 / $3.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $4.17 / $7.24
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $5.50 / $9.55
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $7.41 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $3.72 / $18.20
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $3.72
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $3.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $1.62 / $2.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.82 / $2.88