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Wisconsin rates for HCPCS A4362

Skin barrier; solid, 4 x 4 or equivalent; each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.61 / $3.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.12 / $4.53 / $7.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $3.83 / $5.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $5.32 / $8.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.75 / $6.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $12.62 / $19.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $6.88 / $7.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $3.58 / $4.75
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $4.12 / $4.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $4.75 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.37 / $4.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $3.60 / $4.94
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $4.12 / $4.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $7.13 / $12.04
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $8.06 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.92 / $24.15
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $4.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $4.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $2.23 / $4.50