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Wisconsin rates for HCPCS A4452

Tape Waterproof Per 18 Square Inches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.20 / $0.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.65 / $1.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.42 / $1.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.39 / $0.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.05 / $1.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.38 / $0.48
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.28 / $0.67
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.30 / $0.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.30 / $0.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.30 / $0.67
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.53
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.79 / $1.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.64 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $1.70 / $40.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.27 / $0.45