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Wisconsin rates for HCPCS A4617

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Facilitymedian $4 · 10th–90th $3$80%50%10th90th$4Professionalmedian $3 · 10th–90th $1$70%20%10th90th$3$0.5$2.0$10.0$50.0

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
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $7.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $4.07 / $4.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $6.03 / $8.32
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $3.55 / $5.25
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $8.51 / $10.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $3.80 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.14 / $44.67
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $5.25 / $8.71
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.61 / $11.22
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $7.76 / $45.71
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.47
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $2.14 / $4.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $2.14 / $4.17