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Topical Anesthetic, for Dialysis, per G

Wisconsin rates for HCPCS A4736

Topical anesthetic, for dialysis, per g

Rates data updated July 2026.

Facilitymedian $15 · 10th–90th $15$210%50%90th$15Professionalmedian $15 · 10th–90th $9$150%50%10th$15$2.0$5.0$10.0$20.0$50.0$100.0

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
$15.14
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$1.70
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$18.20
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$36.31
Typical High
$47.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$20.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$54.95
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$18.20
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$1.70