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Unclassified Diagnostic Radiopharmaceutical

Wisconsin rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Rates data updated October 2026.

How much does Unclassified Diagnostic Radiopharmaceutical cost?

$91.20

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $91.20 for this service. Most negotiated rates run $91.20 to $91.20.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $457 · 10th to 90th $457 to $457Professionalmedian $91 · 10th to 90th $91 to $158
$100$200$500facility $457professional $91

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$91.20
Median
$91.20
Typical High
$158.49
Medica
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Quartz
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$91.20

Where Wisconsin sits

The same service costs 35481.3 times more in Michigan than in South Carolina. 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· 43rd of 51

$91.20

MI $1,862,087SC $52.48

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.