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Wisconsin rates for HCPCS A5061

Ostomy pouch, drainable; with barrier attached, (one piece), each

Facilitymedian $5 · 10th–90th $4$90%50%10th90th$5Professionalmedian $4 · 10th–90th $2$80%10%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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.45 / $3.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $8.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.68 / $5.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $15.85 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $7.08 / $9.55
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $4.27 / $7.24
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $9.33 / $11.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $4.90 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.45 / $5.37
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $54.95 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $5.62 / $9.77
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.59 / $13.80
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $10.00 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $5.01 / $24.55
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $2.24 / $3.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $2.45 / $3.98