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Wisconsin rates for HCPCS A4772

Blood glucose test strips, for dialysis, per 50

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.88 / $16.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $27.54 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $56.23 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $21.38 / $37.15
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $14.45 / $19.50
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $58.88 / $77.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $14.45 / $35.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.48 / $138.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $54.95 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $38.90 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $114.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $37.15 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $10.96 / $20.42