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Wisconsin rates for HCPCS A4456

Adhesive Remover Wipes

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 / $0.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.34 / $0.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.51 / $0.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.42 / $0.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.05 / $1.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.47 / $0.64
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.28 / $0.34
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.28 / $0.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.18 / $0.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.28 / $0.34
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.51 / $1.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.69 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $1.49 / $25.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.17 / $0.28