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Wisconsin rates for HCPCS A4405

Ostomy skin barrier, nonpectin-based, paste, per oz

Facilitymedian $5 · 10th–90th $5$90%20%40%10th90th$5Professionalmedian $3 · 10th–90th $2$70%20%10th90th$3$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
$2.00 / $2.00 / $3.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.57 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $14.79 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $7.08 / $9.12
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $4.17 / $6.92
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $7.08 / $8.71
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $4.79 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.40 / $5.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $5.50 / $9.55
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $7.24 / $12.59
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $9.77 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $4.90 / $27.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $4.90
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $4.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $2.19 / $3.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.40 / $3.80