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Wisconsin rates for HCPCS A4414

Ostomy Skin Barrier With Flange (Solid Flexible Or Accordion) Extended Wear Without Built-In Conity 4 X 4 Inches Or Smaller Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.99 / $3.99 / $3.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $4.34 / $5.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.87 / $7.56 / $12.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.39 / $6.39 / $8.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.94 / $8.24 / $14.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $7.21 / $9.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $20.00 / $27.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $10.00 / $13.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $5.76 / $7.90
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $6.87 / $8.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $7.18 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $3.52 / $7.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $5.99 / $7.90
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $6.87 / $8.24
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $10.58 / $17.05
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $13.42 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.13 / $34.21
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.43 / $5.90