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Adhesion Barrier

Wisconsin rates for HCPCS C1765

Adhesion barrier

Rates data updated October 2026.

How much does Adhesion Barrier cost?

$380

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $380 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$380$380 to $2,042
FacilityA hospital or hospital-owned outpatient department$380$3.47 to $380

How much rates vary

Facilitymedian $380 · 10th to 90th $3 to $380Professionalmedian $380 · 10th to 90th $380 to $5,370
$10$100$1Kfacility $380professional $380

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
$380.19
Median
$380.19
Typical High
$380.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$190.55
Median
$190.55
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$75.86
Median
$75.86
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$56.23
Median
$56.23
Typical High
$812.83
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$38.02
Median
$38.02
Typical High
$537.03
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
DeanCare
Setting
Facility
Modifier
None
Typical Low
$3.47
Median
$3.47
Typical High
$3.47
DeanCare
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$2,137.96
Typical High
$2,630.27
Medica
Setting
Facility
Modifier
None
Typical Low
$3.47
Median
$3.47
Typical High
$512.86
Medica
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Prevea360
Setting
Facility
Modifier
None
Typical Low
$3.47
Median
$3.47
Typical High
$3.47
Quartz
Setting
Professional
Modifier
None
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44

Where Wisconsin sits

The same service costs 446.7 times more in Connecticut than in Idaho. 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· 16th of 51

$380

CT $1,549ID $3.47

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.