go back

Irrigation Supply, Sleeve

Wisconsin rates for HCPCS A4397

Irrigation supply; sleeve, each

Rates data updated July 2026.

Facilitymedian $14 · 10th–90th $3$890%10%10th90th$14Professionalmedian $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
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