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Wisconsin rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Facilitymedian $8 · 10th–90th $8–$150%20%40%10th90th$8Professionalmedian $6 · 10th–90th $4–$120%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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $6.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $13.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $9.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $25.12 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $11.75 / $15.49
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $6.92 / $9.55
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $8.13 / $9.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $8.13 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.98 / $9.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $9.55 / $16.22
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $12.30 / $20.89
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $16.22 / $75.86
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $8.32 / $39.81
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $3.63 / $5.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.98 / $6.61