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Wisconsin rates for HCPCS B4035

Enteral feeding supply kit; pump 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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.03 / $7.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $11.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $7.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $20.89 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $9.77 / $12.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $6.61 / $6.92
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $6.61 / $85.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $11.48 / $30.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $64.57 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $11.48 / $19.05
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $85.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $9.33 / $28.84