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Wisconsin rates for HCPCS A0422

Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation

Facilitymedian $26 · 10th–90th $26–$510%50%90th$26Professionalmedian $28 · 10th–90th $26–$1480%20%40%10th90th$28$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
$25.70 / $25.70 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $43.65 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $37.15 / $123.03
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $28.18 / $52.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $54.95 / $85.11
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $32.36 / $70.79