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Wisconsin rates for HCPCS A4310

Insertion tray without drainage bag and without catheter (accessories only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.03 / $8.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $33.88 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $15.49 / $20.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $7.24 / $11.22
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.18 / $16.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $8.13 / $21.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $5.37 / $57.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $16.60 / $28.18
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $16.22 / $58.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $5.37 / $8.71