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Wisconsin rates for HCPCS A4368

Ostomy Filter Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.22 / $0.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.39 / $0.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.75 / $0.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.90 / $1.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.48 / $0.66
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.28 / $0.40
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.35 / $0.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.36 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.18 / $0.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.30 / $0.40
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.35 / $0.42
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.53 / $1.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.68 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.21 / $3.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.17 / $0.28