go back

Wisconsin rates for HCPCS A4500

Surgical stockings below knee length, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $5.37 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $38.90 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $7.08 / $30.90
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.69 / $6.17
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $15.14 / $20.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.95 / $7.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.19 / $28.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $7.59 / $10.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $16.98 / $29.51
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.91 / $10.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $2.04 / $3.80