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Wisconsin rates for HCPCS A4405

Ostomy Skin Barrier Non-Pectin Based Paste Per Ounce

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.77 / $2.77 / $2.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $3.02 / $3.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $5.25 / $8.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.44 / $5.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $10.21 / $10.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $14.00 / $19.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $7.14 / $9.02
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $4.00 / $5.49
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $4.76 / $5.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $4.99 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.38 / $5.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $4.16 / $5.49
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $4.76 / $5.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $7.33 / $12.04
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $9.32 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.86 / $26.50
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $2.38 / $3.97