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Wisconsin rates for HCPCS A4397

Irrigation supply; sleeve, each

Facilitymedian $17 · 10th–90th $3$890%10%10th90th$17Professionalmedian $10 · 10th–90th $5$110%20%10th90th$10$2.0$5.0$10.0$20.0$50.0$100.0

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
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $14.79 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $10.00 / $11.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $3.09 / $4.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.09 / $3.31