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Wisconsin rates for HCPCS A4418

Ostomy pouch, closed; without barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.57 / $4.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.40 / $2.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $8.51 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $3.72 / $4.90
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $2.14 / $3.72
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $4.07 / $5.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $2.51 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.29 / $2.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $3.89 / $6.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $5.13 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $2.75 / $12.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $2.57
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $2.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.07 / $1.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.26 / $2.04