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Wisconsin rates for HCPCS A4657

Syringe With Or Without Needle Each (Updated 01-01-2003) 270)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $34.56 / $34.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $3,914.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.20 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $1.21 / $1.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $1.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $60.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.75
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21