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Wisconsin rates for HCPCS A4461

Surgical Dressing Holder Non-Reusable Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $2.68 / $15.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.68 / $3.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.61 / $4.61 / $7.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.61 / $5.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.61 / $9.86 / $9.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.62 / $14.74 / $19.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $6.56 / $8.73
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.59 / $3.75 / $4.61
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $4.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $3.80 / $4.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.47 / $5.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.59 / $3.80 / $4.61
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $4.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $6.92 / $12.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.00 / $9.36 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $20.25 / $22.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $4.61 / $4.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $4.61 / $4.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $2.29 / $3.83