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Wisconsin rates for HCPCS A5112

Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each

Facilitymedian $49 · 10th–90th $43–$890%20%40%10th90th$49Professionalmedian $36 · 10th–90th $21–$720%10%20%10th90th$36$20.0$50.0$100.0$200.0

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
$26.92 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $26.92 / $40.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $147.91 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $69.18 / $91.20
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $40.74 / $69.18
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $81.28 / $102.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $47.86 / $218.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $24.55 / $54.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $54.95 / $95.50
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $72.44 / $128.82
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $95.50 / $229.09
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $48.98 / $257.04
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $21.88 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $23.44 / $39.81