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Topical Anesthetic, for Dialysis, per G

Wisconsin rates for HCPCS A4736

Topical anesthetic, for dialysis, per g

Rates data updated October 2026.

How much does Topical Anesthetic, for Dialysis, per G cost?

$3.39

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $3.39 for this service. The price depends on where it is billed: about $1.91 from a physician practice, and about $15.14 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.91$1.70 to $15.14
FacilityA hospital or hospital-owned outpatient department$15.14$15.14 to $15.14

How much rates vary

Facilitymedian $15 · 10th to 90th $15 to $15Professionalmedian $2 · 10th to 90th $2 to $31
$2$5$10$20$50$100facility $15professional $2

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$30.90
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$7.59
Median
$7.59
Typical High
$15.49
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.02
Median
$3.02
Typical High
$6.17
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$2.24
Median
$2.24
Typical High
$4.68
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.51
Median
$1.51
Typical High
$3.09
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1.91
Median
$1.91
Typical High
$1.91
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.70
Median
$1.70
Typical High
$1.70
DeanCare
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
DeanCare
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$36.31
Typical High
$38.02
Medica
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$89.13
Typical High
$89.13
Medica
Setting
Professional
Modifier
None
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Prevea360
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Quartz
Setting
Professional
Modifier
None
Typical Low
$1.70
Median
$1.70
Typical High
$1.70

Where Wisconsin sits

The same service costs 61.7 times more in Montana than in Georgia. 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· 28th of 51

$3.39

MT $79.43GA $1.29

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.