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Microcapillary Tube Sealant

Wisconsin rates for HCPCS A4652

Microcapillary tube sealant

Rates data updated July 2026.

How much does Microcapillary Tube Sealant cost?

$0.12

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $0.12 for this service. The price depends on where it is billed: about $0.12 from a physician practice, and about $0.12 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$0.12$0.12 to $0.12
FacilityA hospital or hospital-owned outpatient department$0.12$0.12 to $0.15

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $2Professionalmedian $0 · 10th to 90th $0 to $0
$0.2$1.0$5.0$20.0$100.0facility $0professional $0

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.12
Median
$0.12
Typical High
$0.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.12
Median
$0.12
Typical High
$0.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.35
Typical High
$0.35
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$0.12
Median
$0.12
Typical High
$0.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.12
Median
$0.12
Typical High
$2.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$54.95
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$0.12
Median
$0.12
Typical High
$0.19
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Quartz
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.35
Typical High
$0.35

Where Wisconsin sits

The same service costs 1.6 times more in Ohio than in Idaho. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Wisconsin $0.12 · 43rd of 51
OH $0.19ID $0.12

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.