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Wisconsin rates for HCPCS A4349

Male external catheter, with or without adhesive, disposable, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $2.88 / $4.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $2.69 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $8.51 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $4.27 / $5.37
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.04 / $2.95
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $5.01 / $6.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.19 / $5.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.41 / $14.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $4.27 / $7.41
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $4.27 / $14.13
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.41 / $2.29