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Wisconsin rates for HCPCS A4371

Ostomy Skin Barrier Powder Per Oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $2.96 / $2.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $3.22 / $4.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.09 / $5.61 / $9.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.74 / $6.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $6.12 / $10.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.36 / $7.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $13.52 / $20.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $7.62 / $9.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $4.21 / $5.87
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $5.01 / $6.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $5.33 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.57 / $5.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $4.44 / $5.87
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $5.01 / $6.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $7.84 / $13.05
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $9.96 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.06 / $25.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.54 / $5.09