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Wisconsin rates for HCPCS A5056

Ostomy Pouch Drainable With Extended Wear Barrier Attached With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $3.79 / $3.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $4.13 / $5.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.53 / $7.18 / $11.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $6.07 / $8.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.70 / $7.84 / $13.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $6.86 / $9.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $19.00 / $26.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $9.52 / $12.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $5.65 / $7.51
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $7.84 / $7.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $6.82 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.26 / $7.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.56 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $5.69 / $7.51
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $7.84 / $7.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $10.05 / $17.05
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $12.76 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.93 / $32.52
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $6.53 / $6.53
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $6.53 / $6.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $3.26 / $5.52