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Wisconsin rates for HCPCS A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (one piece), each

Facilitymedian $7 · 10th–90th $6$120%20%40%10th90th$7Professionalmedian $5 · 10th–90th $3$100%10%20%10th90th$5$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
$3.02 / $3.98 / $5.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.17 / $7.24
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $19.95 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $9.33 / $12.59
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $5.62 / $7.76
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $6.46 / $7.94
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $6.46 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.24 / $7.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $7.59 / $13.18
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $10.00 / $17.78
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $13.18 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $6.61 / $32.36
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.95 / $4.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $3.24 / $5.37