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Wisconsin rates for HCPCS A4320

Irrigation Tray With Bulb Or Piston Syringe Any Purpose (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $4.34 / $10.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.46 / $7.46 / $12.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $7.46 / $8.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.46 / $15.96 / $15.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.82 / $23.17 / $30.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $10.78 / $14.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $5.56 / $7.46
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $7.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.22 / $5.47 / $7.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $4.00 / $9.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $5.56 / $7.46
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $7.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $11.19 / $19.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.58 / $15.14 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $32.81 / $37.15
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $7.46 / $7.46
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $7.46 / $7.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.73 / $6.96