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Wisconsin rates for HCPCS A4427

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.46 / $3.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $4.29 / $7.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.63 / $4.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $8.35 / $8.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $12.00 / $16.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $5.72 / $7.39
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $3.26 / $4.49
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $3.90 / $4.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $4.07 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.94 / $4.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.03 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $3.39 / $4.49
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $3.90 / $4.68
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $5.97 / $10.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $7.62 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.34 / $19.42
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $3.90 / $3.90
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $3.90 / $3.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.94 / $3.90