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Unclassified Diagnostic Radiopharmaceutical

Wisconsin rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Rates data updated July 2026.

How much does Unclassified Diagnostic Radiopharmaceutical cost?

$91.20

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $117 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 7 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$91.20$54.95 to $91.20
FacilityA hospital or hospital-owned outpatient department$117$107 to $117

How much rates vary

Facilitymedian $117 · 10th to 90th $107 to $457Professionalmedian $91 · 10th to 90th $32 to $91
$20$50$100$200$500facility $117professional $91

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$158.49
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$117.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$117.49
Typical High
$457.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$54.95
Typical High
$85.11
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$117.49
Quartz
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$21.38

Where Wisconsin sits

The same service costs 89125093.8 times more in Michigan than in Indiana. 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· 30th of 51

$91.20

MI $1,778,279IN $0.02

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.