go back

Wisconsin rates for HCPCS A4929

Tourniquet for dialysis, each

Facilitymedian $0 · 10th–90th $0–$10%10%10th90th$0Professionalmedian $0 · 10th–90th $0–$20%5%10%10th90th$0$0.2$1.0$5.0$20.0$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.49 / $1.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.89 / $1.05 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.47 / $0.71
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.20 / $0.27 / $0.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.20 / $0.27 / $0.68
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $0.22 / $2.14
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $54.95 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $0.55
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.72 / $1.10
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $0.71 / $2.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.20 / $0.36