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Wisconsin rates for HCPCS A4410

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 in, each

Facilitymedian $13 · 10th–90th $12–$230%20%40%10th90th$13Professionalmedian $10 · 10th–90th $6–$190%10%10th90th$10$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
$6.03 / $7.08 / $10.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $21.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.02 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $39.81 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $18.20 / $24.55
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $18.20
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $19.50 / $23.99
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $12.59 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.31 / $13.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $14.45 / $25.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.50 / $33.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $25.70 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $12.88 / $63.10
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $5.75 / $9.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $6.31 / $10.23