go back

Wisconsin rates for HCPCS A4368

Ostomy filter, any type, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $3.98 / $3.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.33 / $0.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $1.05 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.47 / $0.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.28 / $0.50
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.76 / $5.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.35 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.18 / $0.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.54 / $1.05
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.71 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.39 / $3.72
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.16 / $0.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.17 / $0.28