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Wisconsin rates for HCPCS A4423

Ostomy Pouch Closed; For Use On Barrier With Locking Flange With Filter (2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.64 / $2.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.59 / $2.85 / $4.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $2.41 / $3.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $5.54 / $5.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $8.00 / $11.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $3.81 / $4.90
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $2.17 / $2.98
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $2.59 / $3.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $2.72 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.30 / $2.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $2.27 / $2.98
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $2.59 / $3.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $3.99 / $7.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $5.05 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.56 / $12.90
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.30 / $2.19