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Wisconsin rates for HCPCS 0256U

Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile, liquid chromatography tandem mass spectrometry (LC-MS/MS), urine, with algorithmic analysis and interpretive report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $436.52 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $131.83 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $512.86 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $239.88 / $501.19
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $549.54 / $933.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $144.54 / $758.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $95.50 / $288.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $371.54 / $524.81
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $758.58
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $95.50 / $309.03