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Wisconsin rates for HCPCS A4310

Insertion Tray Without Drainage Bag And Without Catheter (Accessories Only) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $6.26 / $6.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.71 / $6.26 / $8.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.79 / $10.79 / $17.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.02 / $10.79 / $12.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.79 / $23.09 / $23.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $33.70 / $44.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $15.47 / $20.43
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.06 / $8.89 / $16.21
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $6.18 / $10.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.06 / $8.89 / $24.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.10 / $15.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.92 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.06 / $8.89 / $16.21
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $6.18 / $10.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.79 / $16.19 / $27.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.08 / $21.90 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $47.43 / $57.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.79 / $10.79 / $10.79
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.79 / $10.79 / $10.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.53 / $5.38 / $9.99