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Wisconsin rates for HCPCS 0058U

Onc Merkel Cell Carc Detcj Antb Serum Quan

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.55 / $387.55 / $387.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.68 / $303.58 / $387.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.36 / $839.70 / $888.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $5.95 / $1,317.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.21 / $877.00 / $877.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.50 / $1,038.29 / $1,592.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.00 / $869.67 / $988.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.68 / $387.55 / $1,130.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.66 / $387.55 / $1,130.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.43 / $215.31 / $1,106.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.68 / $387.55 / $1,130.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.91 / $769.76 / $1,079.64
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.91 / $1,534.06 / $1,534.06
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.83 / $1,614.80 / $1,614.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.76 / $687.76 / $687.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,763.36 / $1,763.36 / $1,763.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.95 / $322.95 / $322.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.72 / $215.31 / $753.59