go back

Wisconsin rates for HCPCS A4411

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $6.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $12.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.76 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $21.88 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $10.23 / $13.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $6.03 / $10.23
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $12.30 / $15.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $7.08 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.72 / $8.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $10.96 / $19.05
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $14.45 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $7.76 / $35.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $3.02 / $4.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.55 / $5.75