go back

Wisconsin rates for HCPCS A4870

Plumbing and/or Electrical Work for Home Dialysis Equipment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $18.05 / $18.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $18.05 / $18.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $26.26 / $35.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.59 / $115.59 / $115.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $18.05 / $25.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $18.05 / $37.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $18.05 / $25.27
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $115.59 / $115.59