go back

Wisconsin rates for HCPCS A0396

Als Specialized Service Disposable Supplies; Esophageal Intubation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.33 / $28.33 / $28.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.88 / $47.31 / $166.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.38 / $33.38 / $41.72
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.69 / $32.69 / $32.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.69 / $32.69 / $32.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.79 / $30.32 / $138.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.07 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.69 / $32.69 / $32.69
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.06 / $56.06 / $56.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.79 / $34.78 / $67.81