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Wisconsin rates for HCPCS A4381

Ostomy Pouch Urinary For Use On Faceplate Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.75 / $3.75 / $3.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $4.09 / $5.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $7.11 / $11.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $6.01 / $7.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.66 / $13.82 / $13.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $17.12 / $26.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $9.52 / $12.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $5.41 / $7.43
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $6.46 / $7.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $6.75 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $3.23 / $7.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $5.63 / $7.43
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $6.46 / $7.75
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $9.96 / $16.05
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $12.62 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.88 / $32.17
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.46 / $6.46
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.46 / $6.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $3.23 / $5.38