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Wisconsin rates for HCPCS A4432

Ostomy pouch, urinary; for use on barrier with nonlocking flange, with faucet-type tap with valve (two piece), each

Facilitymedian $5 · 10th–90th $5–$90%20%40%10th90th$5Professionalmedian $4 · 10th–90th $2–$80%10%20%10th90th$4$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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $8.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $15.85 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $7.08 / $9.55
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $4.37 / $7.24
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $9.33 / $11.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $5.01 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.51 / $5.50
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $5.75 / $10.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $7.59 / $13.80
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $10.23 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $5.13 / $25.12
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $2.29 / $3.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.51 / $4.07