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Wisconsin rates for HCPCS A4615

Cannula, nasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.05 / $3.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.98 / $1.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $3.16 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $1.41 / $2.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.83 / $1.10
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $2.51 / $3.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.85 / $2.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.51 / $12.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.74 / $3.16
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $2.04 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $2.09 / $12.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.05
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.50 / $0.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.51 / $0.83