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Wisconsin rates for HCPCS A4424

Ostomy pouch, drainable, with barrier attached, with filter (one piece), each

Facilitymedian $7 · 10th–90th $6$120%20%40%10th90th$7Professionalmedian $5 · 10th–90th $3$100%10%20%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 / $3.31 / $5.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $11.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.31 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $20.89 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $9.77 / $12.88
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $5.75 / $9.55
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $10.47 / $12.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $6.61 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.31 / $7.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $7.59 / $13.18
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $10.23 / $17.78
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $13.49 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $6.76 / $33.11
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $3.02 / $4.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $3.31 / $5.37