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Wisconsin rates for HCPCS B4034

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $3.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $6.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $4.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $11.48 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.62 / $7.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.72 / $3.89
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.72 / $85.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $6.76 / $15.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $64.57 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $6.76 / $11.75
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $85.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $5.25 / $15.85