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Wisconsin rates for HCPCS A4423

Ostomy pouch, closed; for use on barrier with locking flange, with filter (two piece), each

Facilitymedian $3 · 10th–90th $2$50%20%40%10th90th$3Professionalmedian $2 · 10th–90th $1$40%20%10th90th$2$1.0$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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $4.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $8.51 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $3.72 / $5.01
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $2.24 / $3.80
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.89 / $4.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $2.57 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.29 / $2.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.17
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.95 / $5.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.98 / $7.41
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $5.25 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $2.63 / $12.88
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.63
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $1.17 / $1.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $1.29 / $2.09