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Wisconsin rates for HCPCS 0311U

Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)-based antimicrobial susceptibility for each organism identified

Facilitymedian $16 · 10th–90th $6$420%10%20%10th90th$16Professionalmedian $9 · 10th–90th $5$220%10%10th90th$9$5.0$10.0$20.0$50.0

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
$8.91 / $22.39 / $22.39
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $8.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $13.18 / $27.54
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $6.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $26.30 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $14.13 / $25.12
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $28.18 / $46.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $7.24 / $60.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.79 / $14.45
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $12.02 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $9.77 / $22.91
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.13 / $16.22
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $18.62 / $26.30
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $70.79
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $6.46 / $9.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.79 / $14.45