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Wisconsin rates for HCPCS A4305

Disposable Drug Delivery System Flow Rate Of 50 Ml Or Greater Per Hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.11 / $5.11 / $5.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $5.11 / $7.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $17.07 / $35.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.54 / $47.39 / $62.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $15.80 / $21.09
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.11 / $7.06 / $15.93
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $7.22 / $7.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.92 / $7.06 / $17.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $6.05 / $68.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.11 / $7.06 / $15.93
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $7.22 / $7.22
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $20.05 / $26.63
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.34 / $30.00 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $44.50 / $68.90
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $15.29 / $17.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.56 / $5.35 / $9.76