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Wisconsin rates for HCPCS A4408

Ostomy Skin Barrier With Flange (Solid Flexible Or Accordion) Extended Wear With Built-In Convexity Larger Than 4 X 4 Inches Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.01 / $8.01 / $8.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $8.73 / $11.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.79 / $15.17 / $25.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.82 / $12.82 / $16.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.92 / $29.51 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $41.00 / $57.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $20.48 / $26.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $11.55 / $15.86
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.90 / $13.79 / $16.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $14.42 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.88 / $15.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $12.02 / $15.86
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.90 / $13.79 / $16.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.79 / $21.23 / $35.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $26.94 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $8.28 / $68.67
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.79 / $13.79 / $13.79
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.79 / $13.79 / $13.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $6.88 / $11.67