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Wisconsin rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Facilitymedian $5 · 10th–90th $4$80%20%40%10th90th$5Professionalmedian $3 · 10th–90th $2$70%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
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$3.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$7.41
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.17
Typical High
$5.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$13.80
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$6.61
Typical High
$8.51
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.80
Typical High
$6.46
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$8.32
Typical High
$10.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$4.47
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$2.19
Typical High
$4.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$7.24
Network Health
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$5.13
Typical High
$8.91
Quartz
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.76
Typical High
$11.48
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$8.91
Typical High
$79.43
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$4.57
Typical High
$21.88
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$4.57
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$4.57
United
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$2.04
Typical High
$3.24
United
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$2.19
Typical High
$3.63