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Wisconsin rates for HCPCS A4270

Disposable Endoscope Sheath Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $25.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $40.00 / $56.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $13.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $25.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.34 / $23.34 / $23.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $13.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,900.00 / $5,900.00 / $5,900.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $23.34 / $23.34