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Irrigation Supply, Sleeve

Wisconsin rates for HCPCS A4397

Irrigation supply; sleeve, each

Rates data updated July 2026.

How much does Irrigation Supply, Sleeve cost?

$11.48

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $11.48 for this service. The price depends on where it is billed: about $10.00 from a physician practice, and about $13.80 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.00$6.03 to $11.48
FacilityA hospital or hospital-owned outpatient department$13.80$5.62 to $70.79

How much rates vary

Facilitymedian $14 · 10th to 90th $3 to $89Professionalmedian $10 · 10th to 90th $5 to $11
$2$5$10$20$50$100facility $14professional $10

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$13.80
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$10.00
Typical High
$11.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$3.09
Typical High
$5.62

Where Wisconsin sits

The same service costs 44.7 times more in California than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 5th of 51

$11.48

CA $100VT $2.24

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.