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Wisconsin rates for HCPCS A4657

Syringe, with or without needle, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $34.67 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $2,630.27 / $5,248.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.19 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.05 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.49 / $1.20
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.76
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.95 / $1.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $7.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $58.88 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.26 / $0.30