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Wisconsin rates for HCPCS A4615

Cannula Nasal (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 3312)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.59 / $7.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.65 / $0.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.95 / $1.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $2.18 / $2.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $3.07 / $4.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $1.41 / $1.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.84 / $1.10
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $1.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $1.02 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.54 / $1.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.84 / $1.17
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $1.22
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.74 / $3.02
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $2.00 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.76 / $11.90
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.51 / $0.95