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Wisconsin rates for HCPCS A4860

Disposable catheter tips for peritoneal dialysis, per 10

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $22.91 / $22.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.00 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.27
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $7.59 / $10.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $50.12 / $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
$1.00 / $1.00 / $1.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.37