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Adhesion Barrier

Wisconsin rates for HCPCS C1765

Adhesion barrier

Rates data updated July 2026.

Facilitymedian $9 · 10th–90th $3$1,0960%20%10th90th$9Professionalmedian $3 · 10th–90th $3$3800%50%90th$3$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
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$1,071.52
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$380.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,412.54
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$316.23
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,089.30
Typical High
$2,818.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$4.79
Typical High
$316.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$316.23
Quartz
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Quartz
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$478.63
Quartz
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$380.19