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Wisconsin rates for HCPCS A4306

Disposable Drug Delivery System Flow Rate Of Lessthan 50 Ml Per Hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.07 / $7.07 / $7.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $7.07 / $10.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $23.64 / $49.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.44 / $37.90 / $50.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $17.46 / $24.85
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.07 / $9.77 / $22.16
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $9.89 / $9.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.81 / $9.77 / $23.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.06 / $8.33 / $95.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.07 / $9.77 / $22.16
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $9.89 / $9.89
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.32 / $27.77 / $36.86
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.61 / $30.00 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $61.65 / $95.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.31 / $28.31 / $32.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.52 / $7.45 / $13.92