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Wisconsin rates for HCPCS B4081

Nasogastric Tubing With Stylet (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.34 / $15.34 / $150.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $15.34 / $61.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.79 / $18.79 / $31.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.47 / $17.47 / $20.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.91 / $40.21 / $40.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.56 / $57.92 / $88.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.17 / $26.72 / $35.35
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.40 / $18.79 / $19.73
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.49 / $11.49 / $11.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.07 / $18.79 / $91.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.37 / $29.19 / $74.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.73 / $65.00 / $90.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.40 / $18.79 / $19.73
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.49 / $11.49 / $11.49
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.79 / $33.00 / $55.20
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.47 / $38.14 / $91.07
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.17 / $17.17 / $17.17
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.43 / $24.43 / $24.43
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.21 / $25.21 / $25.21
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.43 / $24.43 / $24.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $24.86 / $68.09