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Wisconsin rates for HCPCS A4357

Bedside drainage bag, day or night, with or without antireflux device, with or without tube, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $10.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $22.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $12.88 / $15.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $13.80 / $28.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $41.69 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $19.50 / $26.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $11.22 / $16.22
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $25.12 / $30.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $13.49 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.24 / $15.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $54.95 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $20.89 / $35.48
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $27.54 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $14.13 / $67.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $6.03 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $6.76 / $11.48