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Wisconsin rates for HCPCS A4218

Sterile saline or water, metered dose dispenser, 10 ml

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 / $1.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.31 / $0.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.05 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.43 / $0.49
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.69
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $10.96 / $14.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $5,888.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.19 / $2.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.54