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Wisconsin rates for HCPCS Q4159

Affinity, per sq cm (add-on, list separately in addition to primary procedure)

Facilitymedian $263 · 10th–90th $204$1,0720%20%10th90th$263Professionalmedian $209 · 10th–90th $200$8320%50%10th90th$209$5.0$20.0$100.0$500.0$2.0K

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
$208.93 / $208.93 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $724.44 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $549.54 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $331.13 / $707.95
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $208.93 / $457.09
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $239.88 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $64.57 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $380.19 / $380.19
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $275.42 / $446.68
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $302.00 / $1,071.52
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $1,071.52 / $1,258.93
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $309.03 / $1,778.28
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $263.03