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Wisconsin rates for HCPCS A4414

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

Facilitymedian $7 · 10th–90th $6$130%50%10th90th$7Professionalmedian $5 · 10th–90th $3$100%10%10th90th$5$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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $5.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $11.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.46 / $7.76
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $20.89 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $9.77 / $13.18
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $5.89 / $10.00
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $12.59 / $15.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $6.92 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.47 / $7.41
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $13.80
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.47 / $17.78
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $13.80 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $7.08 / $33.88
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $3.16 / $5.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.47 / $5.50