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Wisconsin rates for HCPCS A6457

Tubular Dressing With Or Without Elastic Any Width Per Linear Yard

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $0.92 / $0.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.95 / $3.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $1.59 / $2.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.59 / $1.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $3.40 / $3.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $5.27 / $7.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $2.34 / $3.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.29 / $1.59
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $1.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.31 / $1.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.86 / $4.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.31 / $1.59
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $1.59
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $2.39 / $4.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.10 / $3.23 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $6.98 / $7.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.59 / $1.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.59 / $1.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.79 / $1.32