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Wisconsin rates for HCPCS A4306

Disposable drug delivery system, flow rate of less than 50 ml per hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $19.50 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $38.02 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $16.98 / $25.12
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $9.55 / $19.95
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $30.20 / $41.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $10.47 / $25.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.76 / $95.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $27.54 / $39.81
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $20.42 / $100.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $30.20 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $7.41 / $13.80