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Wisconsin rates for HCPCS A4373

Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $14.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $8.32 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $27.54 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $12.59 / $16.98
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $7.41 / $12.59
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $16.98 / $20.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $8.71 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.47 / $9.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $13.49 / $23.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $17.78 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $9.55 / $43.65
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.72 / $5.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $4.37 / $7.08