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Wisconsin rates for HCPCS A6207

Contact Layer More Than 16 Sq. In. But Less Than Or Equal To 48 Sq. In. Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.96 / $5.96 / $17.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.48 / $5.96 / $8.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.26 / $10.26 / $16.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.53 / $10.26 / $11.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.26 / $21.96 / $21.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $23.78 / $23.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.93 / $32.64 / $43.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $15.00 / $19.43
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.76 / $8.34 / $10.26
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.87 / $5.87 / $10.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $8.44 / $10.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $5.80 / $13.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.76 / $8.44 / $10.26
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.87 / $5.87 / $10.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $15.39 / $26.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.04 / $20.83 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $45.09 / $51.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $10.26 / $10.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $10.26 / $10.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $5.12 / $9.81