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Wisconsin rates for HCPCS A4430

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Facilitymedian $12 · 10th–90th $11$220%20%40%10th90th$12Professionalmedian $9 · 10th–90th $6$180%10%20%10th90th$9$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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $10.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $37.15 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $17.38 / $22.91
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $10.23 / $17.38
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $22.91 / $28.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $12.02 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.89 / $13.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $13.80 / $23.99
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $18.20 / $31.62
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $23.99 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $12.02 / $58.88
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $5.37 / $8.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.89 / $9.55