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Wisconsin rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Facilitymedian $39 · 10th–90th $26$1410%10%10th90th$39Professionalmedian $36 · 10th–90th $24$1000%10%10th90th$36$0.5$2.0$10.0$50.0$200.0

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
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$33.11
Typical High
$41.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$61.66
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$141.25
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$63.10
Typical High
$93.33
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$35.48
Typical High
$72.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$35.48
Typical High
$87.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$28.84
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$54.95
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Quartz
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$95.50
Typical High
$144.54
Quartz
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$288.40
Quartz
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$93.33
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$26.92
Typical High
$51.29