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Wisconsin rates for HCPCS A4434

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

Facilitymedian $5 · 10th–90th $5$100%20%40%10th90th$5Professionalmedian $4 · 10th–90th $2$80%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
$3.02 / $3.02 / $3.02
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
$5.37 / $5.37 / $8.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $16.98 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $7.59 / $10.23
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $4.57 / $7.59
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $10.23 / $12.59
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $5.25 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.63 / $5.75
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $6.03 / $10.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $7.94 / $13.80
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $10.72 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $5.75 / $26.30
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $2.40 / $3.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.63 / $4.27