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Wisconsin rates for HCPCS A4415

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

Facilitymedian $9 · 10th–90th $8–$150%20%40%10th90th$9Professionalmedian $6 · 10th–90th $4–$130%10%20%10th90th$6$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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $7.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $14.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.94 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $26.30 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $12.30 / $16.22
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $7.24 / $12.02
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $12.59 / $15.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $8.32 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.17 / $9.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $9.55 / $16.60
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $12.88 / $21.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $16.98 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $8.51 / $41.69
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $3.80 / $6.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $4.17 / $6.76