go back

Wisconsin rates for HCPCS A5093

Ostomy accessory; convex insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.75 / $4.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.57 / $3.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $8.51 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $3.72 / $5.25
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $2.29 / $3.80
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $5.01 / $6.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.75 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.38 / $3.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $4.17 / $7.41
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $5.50 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $3.02 / $37.15
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $2.75
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $2.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.15 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.35 / $2.24