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ALS Specialized Service Disposable Supplies, IV Drug Therapy

Wisconsin rates for HCPCS A0394

ALS specialized service disposable supplies; IV drug therapy

Rates data updated July 2026.

Facilitymedian $17 · 10th–90th $17$350%50%90th$17Professionalmedian $21 · 10th–90th $17$1200%20%10th90th$21$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
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$28.18
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$20.42
Typical High
$25.12
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Medica
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$20.89
Typical High
$45.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$54.95
Typical High
$85.11
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Quartz
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Quartz
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$20.89
Typical High
$45.71