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Wisconsin rates for HCPCS A4433

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

Facilitymedian $5 · 10th–90th $4$90%20%40%10th90th$5Professionalmedian $3 · 10th–90th $2$70%20%10th90th$3$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 / $2.00 / $3.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.47 / $5.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $14.79 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $6.61 / $9.12
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $4.07 / $6.76
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $8.71 / $10.72
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $4.68 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.34 / $5.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $5.37 / $9.33
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $7.24 / $12.59
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $9.55 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $4.79 / $23.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $2.14 / $3.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $2.34 / $3.80