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Wisconsin rates for HCPCS A5062

Ostomy pouch, drainable; without barrier attached (one piece), each

Facilitymedian $3 · 10th–90th $3$60%50%10th90th$3Professionalmedian $2 · 10th–90th $1$50%20%10th90th$2$1.0$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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $5.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $2.95 / $3.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $9.55 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $4.68 / $6.03
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $2.69 / $4.37
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $4.90 / $6.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $3.09 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.55 / $3.39
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $32.36 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $3.63 / $6.31
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $4.79 / $8.51
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $6.31 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $3.16 / $18.20
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.16
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $1.41 / $2.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.55 / $2.51