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Wisconsin rates for HCPCS A4384

Ostomy Faceplate Equivalent Silicone Ring Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.80 / $7.80 / $7.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $8.50 / $10.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.42 / $14.76 / $24.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.60 / $12.48 / $16.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.66 / $28.72 / $28.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $36.04 / $55.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $19.53 / $25.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $11.25 / $15.43
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $13.42 / $16.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.54 / $14.04 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.35 / $6.70 / $14.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.64 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $11.70 / $15.43
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $13.42 / $16.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.42 / $20.66 / $34.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $26.22 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.07 / $66.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.42 / $13.42 / $13.42
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.42 / $13.42 / $13.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $5.71 / $8.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $6.70 / $11.52