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Wisconsin rates for HCPCS A4300

Implantable Access Catheter (E G. Venous Arterial Epidural Subarachnoid Or Peritoneal Etc.) External Access (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $14.82 / $14.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $14.82 / $17.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $10.58 / $74.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.53 / $26.33 / $40.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $9.38 / $11.72
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $14.82 / $26.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $18.47 / $856.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.99 / $6.52 / $10.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $14.82 / $26.68
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $856.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.38 / $4.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $16.23 / $16.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $5.61 / $10.24