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Wisconsin rates for HCPCS A4265

Paraffin Per Pound (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.76 / $2.76 / $2.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.76 / $3.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.76 / $7.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.43 / $4.76 / $5.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $10.19 / $10.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.62 / $14.74 / $19.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $7.03 / $9.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $3.49 / $4.76
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $2.71 / $4.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $3.86 / $4.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.70 / $6.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $3.86 / $4.76
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $2.71 / $4.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $7.14 / $12.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.30 / $9.66 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $20.93 / $23.70
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $2.38 / $4.43