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Wisconsin rates for HCPCS A5072

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

Facilitymedian $5 · 10th–90th $4$90%50%10th90th$5Professionalmedian $3 · 10th–90th $2$80%10%20%10th90th$3$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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.40 / $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
$4.68 / $4.68 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $15.85 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $5.75 / $9.55
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $4.27 / $7.24
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $6.31 / $7.59
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
$3.47 / $33.11 / $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
$2.88 / $10.00 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.88 / $25.12
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 / $4.07