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Wisconsin rates for HCPCS 0322U

Neuro Asd Quan Meas 14 Acyl Carnitines & Metablt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.00 / $705.00 / $900.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.26 / $336.26 / $3,000.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.00 / $750.00 / $1,141.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,063.56 / $2,411.44 / $3,699.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.93 / $2,019.60 / $2,295.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $615.00 / $900.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $675.00 / $3,562.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.00 / $750.00 / $1,575.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $615.00 / $900.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.22 / $1,788.64 / $2,550.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $1,500.00 / $3,562.50
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,597.50 / $1,597.50 / $1,597.50
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,095.00 / $4,095.00 / $4,095.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.00 / $600.00 / $1,575.00