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Wisconsin rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Facilitymedian $52 · 10th–90th $9$7,9430%10%10th90th$52Professionalmedian $14 · 10th–90th $9$400%10%20%10th90th$14$5.0$20.0$100.0$500.0$2.0K$10.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $15.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $26.30 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $52.48 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $34.67 / $50.12
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $34.67 / $10,471.29
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $51.29 / $69.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $15.85 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $10.72 / $158.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $35.48 / $53.70
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $125.89
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $26.92 / $190.55
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $30.90 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $10.00 / $18.62