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Wisconsin rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Facilitymedian $4 · 10th–90th $4$80%50%90th$4Professionalmedian $3 · 10th–90th $2$50%20%10th90th$3$1.0$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
$2.00 / $9.12 / $9.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $5.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $12.59 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $5.89 / $6.76
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $3.02 / $5.13
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $7.41 / $9.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $3.47 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.91 / $20.42
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.98 / $6.92
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $5.50 / $10.47
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $4.47 / $20.42
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.74 / $2.82