go back

Wisconsin rates for HCPCS A4335

Incontinence supply; miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.51 / $2.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $4.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $6.50 / $13.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $105.18 / $105.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $90.00 / $105.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $6.98 / $6.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $105.18 / $105.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,900.00 / $5,900.00 / $5,900.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $6.50 / $6.50
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00