go back

Wisconsin rates for HCPCS A4221

Supplies for maintenance of noninsulin drug infusion catheter, per week (list drugs separately)

Facilitymedian $26 · 10th–90th $25–$430%20%40%10th90th$26Professionalmedian $21 · 10th–90th $14–$390%10%10th90th$21$10.0$50.0$200.0$1.0K$5.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $23.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $42.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $27.54
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $38.02 / $40.74
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $79.43 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $36.31 / $47.86
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $22.39 / $38.90
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $45.71 / $58.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $25.12 / $56.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $14.79 / $125.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $30.20 / $50.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $43.65 / $79.43
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $120.23
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $35.48 / $125.89
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $14.13 / $23.44