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Wisconsin rates for HCPCS A4431

Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (one piece), each

Facilitymedian $9 · 10th–90th $8$160%50%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
$5.01 / $5.01 / $5.01
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
$8.91 / $8.91 / $14.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.13 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $27.54 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $12.59 / $16.60
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $7.59 / $12.59
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $13.18 / $15.85
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $8.71 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $4.37 / $9.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $10.00 / $17.38
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $13.18 / $23.44
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $17.78 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $9.55 / $43.65
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $3.98 / $6.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $4.37 / $7.08