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Wisconsin rates for HCPCS A4383

Ostomy Pouch Urinary For Use On Faceplate Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.87 / $22.87 / $22.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.87 / $24.94 / $31.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.38 / $43.32 / $71.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $36.61 / $48.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.34 / $84.27 / $84.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $105.43 / $163.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $57.19 / $74.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $32.99 / $45.29
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.55 / $39.38 / $47.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.17 / $41.17 / $184.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $19.64 / $42.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.99 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $34.31 / $45.29
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.55 / $39.38 / $47.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.38 / $60.62 / $100.37
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $76.92 / $184.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $26.07 / $196.11
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.38 / $39.38 / $39.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.38 / $39.38 / $39.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $19.64 / $39.38