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Wisconsin rates for HCPCS A4420

Ostomy Pouch Closed; For Use On Barrier With Locking Flange (2 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.72 / $2.08
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $90.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1.22
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $65.00 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.02 / $2.02