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Wisconsin rates for HCPCS A4563

Rectal Control System For Vaginal Insertion For Long Term Use Includes Pump And All Supplies And Accessories Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.63 / $956.63 / $956.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $956.63 / $1,203.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,647.63 / $1,812.39 / $2,998.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,532.30 / $1,532.30 / $2,026.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.51 / $3,525.93 / $3,525.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $4,914.00 / $6,877.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $2,387.81 / $3,118.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.63 / $1,425.38 / $1,894.77
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.14 / $1,647.63 / $1,977.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.63 / $1,721.93 / $7,674.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.12 / $85.63 / $1,608.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.63 / $1,434.95 / $1,894.77
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.14 / $1,647.63 / $1,977.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.63 / $2,471.44 / $4,407.25
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $3,218.02 / $7,674.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $120.00 / $8,311.57
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.63 / $1,647.63 / $1,647.63
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.63 / $1,647.63 / $1,647.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $85.63 / $575.10