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Wisconsin rates for HCPCS 0202U

Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qualitative RT-PCR, nasopharyngeal swab, each pathogen reported as detected or not detected

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,202.26 / $2,137.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $165.96 / $1,479.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $630.96 / $1,023.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $457.09 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,202.26 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $724.44 / $1,288.25
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,737.80 / $2,630.27
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,754.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $588.84 / $2,137.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $239.88 / $1,412.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $977.24 / $1,380.38
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,995.26 / $1,995.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,659.59 / $2,089.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $891.25
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $1,023.29 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $239.88 / $645.65