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Wisconsin rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Facilitymedian $13 · 10th–90th $11$230%50%10th90th$13Professionalmedian $9 · 10th–90th $6$190%10%20%10th90th$9$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
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $10.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $20.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.48 / $13.80
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $38.02 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $17.78 / $23.44
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $10.47 / $17.78
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $22.39 / $26.92
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $12.30 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $6.17 / $13.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $14.13 / $24.55
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $18.62 / $32.36
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $25.12 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $12.59 / $61.66
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $5.62 / $8.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $6.17 / $9.77