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Wisconsin rates for HCPCS A4426

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.42 / $3.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.81 / $4.19 / $6.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $3.54 / $4.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $8.15 / $8.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $11.00 / $15.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $5.72 / $7.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $3.19 / $4.38
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $3.81 / $4.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $3.98 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.90 / $4.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $3.32 / $4.38
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $3.81 / $4.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $5.87 / $10.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $7.44 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.29 / $18.97
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $3.81 / $3.81
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $3.81 / $3.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.90 / $3.81