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Wisconsin rates for HCPCS A0394

ALS specialized service disposable supplies; IV drug therapy

Facilitymedian $17 · 10th–90th $17–$330%50%90th$17Professionalmedian $18 · 10th–90th $17–$950%20%40%10th90th$18$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $28.18 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $20.42 / $25.12
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $20.89 / $45.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $54.95 / $85.11
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $20.89 / $45.71