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Wisconsin rates for HCPCS A4431

Ostomy Pouch Urinary; With Barrier Attached Withfaucet-Type Tap With Valve (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.49 / $7.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.67 / $9.53 / $15.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $8.06 / $10.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.24 / $18.55 / $18.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $26.00 / $36.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $12.66 / $16.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $7.27 / $9.97
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.98 / $8.67 / $10.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $9.07 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $4.33 / $9.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $7.56 / $9.97
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.98 / $8.67 / $10.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $13.39 / $22.08
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $16.94 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $5.59 / $43.18
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $8.67 / $8.67
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $8.67 / $8.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $4.33 / $8.67