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Wisconsin rates for HCPCS A4481

Tracheostoma filter, any type, any size, each

Facilitymedian $1 · 10th–90th $0–$10%20%40%10th90th$1Professionalmedian $1 · 10th–90th $0–$10%10%20%10th90th$1$0.2$1.0$5.0$20.0$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
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $0.52 / $0.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.48 / $0.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $2.09 / $3.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.87 / $1.00
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.45 / $0.76
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.78 / $0.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.51 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.26 / $0.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $0.85
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.59 / $1.02
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.76 / $1.05
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $1.05 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.52 / $3.72
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.52 / $0.52
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.52 / $0.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.16 / $0.26 / $0.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.26 / $0.44