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Wisconsin rates for HCPCS Q4170

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

Facilitymedian $89 · 10th–90th $39$9770%20%10th90th$89Professionalmedian $41 · 10th–90th $39$1910%20%10th90th$41$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
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $43.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $128.82 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $288.40 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $125.89 / $169.82
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $40.74 / $89.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $42.66 / $977.24
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $812.83
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
$48.98 / $48.98 / $48.98
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $229.09 / $446.68
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $977.24 / $3,388.44
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $58.88 / $3,981.07
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $64.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $1,047.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $446.68