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Miscellaneous Surgical Supply

Wisconsin rates for HCPCS A4649

Surgical supply; miscellaneous

Rates data updated July 2026.

How much does Miscellaneous Surgical Supply cost?

$51.29

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $759 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 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$51.29$3.72 to $170
FacilityA hospital or hospital-owned outpatient department$759$64.57 to $3,467

How much rates vary

Facilitymedian $759 · 10th to 90th $23 to $3,467Professionalmedian $51 · 10th to 90th $0 to $302
$1$10$100$1Kfacility $759professional $51

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$3,467.37
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.23
Median
$51.29
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$2.88
Typical High
$2.88
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$144.54
Typical High
$977.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$58.88
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Quartz
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$758.58
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$2.88
Typical High
$2.88
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$87.10

Where Wisconsin sits

The same service costs 7079.5 times more in West Virginia than in Ohio. 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· 17th of 51

$51.29

WV $1,622OH $0.23

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.