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Wisconsin rates for HCPCS A4772

Blood Glucose Test Strips For Dialysis Per 50 (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.41 / $10.41 / $10.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $13.22 / $17.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $27.83 / $72.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.66 / $56.86 / $87.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $25.31 / $36.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.02 / $14.12 / $29.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $14.57 / $35.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $11.48 / $139.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $60.00 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.41 / $14.38 / $29.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.42 / $40.45 / $57.34
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.45 / $33.76 / $93.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $90.75 / $139.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $10.89 / $20.99