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Wisconsin rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Facilitymedian $17 · 10th–90th $16–$280%20%40%10th90th$17Professionalmedian $11 · 10th–90th $7–$250%10%10th90th$11$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
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $14.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $27.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $51.29 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $23.99 / $31.62
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $13.80 / $23.44
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $32.36 / $40.74
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $16.22 / $36.31
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $8.32 / $109.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $18.62 / $32.36
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $25.12 / $44.67
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $20.42 / $112.20
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $8.13 / $13.49