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Wisconsin rates for HCPCS A4305

Disposable drug delivery system, flow rate of 50 ml or greater per hour

Facilitymedian $10 · 10th–90th $5$760%20%10th90th$10Professionalmedian $7 · 10th–90th $5$200%20%10th90th$7$5.0$20.0$100.0$500.0$2.0K

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
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.03 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $14.13 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $47.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $16.98 / $20.89
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $7.08 / $15.85
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $38.02 / $52.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $7.76 / $18.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.62 / $69.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $19.05 / $28.84
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $14.79 / $72.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $16.22 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $5.37 / $10.00