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Wisconsin rates for HCPCS 31624

Brnchsc W/Brncl Alveolar Lavage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.93 / $2,147.19 / $6,630.94
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$79.97 / $155.99 / $472.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $272.56 / $1,151.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,496.00 / $5,962.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.50 / $506.96 / $1,381.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.62 / $187.88 / $187.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.96 / $343.05 / $530.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.95 / $799.25 / $1,289.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.51 / $460.31 / $901.49
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.57 / $264.19 / $506.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.93 / $482.12 / $5,639.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.83 / $872.04 / $1,737.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $423.27 / $664.74
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.57 / $264.19 / $506.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.74 / $542.91 / $904.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.46 / $1,076.46 / $1,076.46
Quartz
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$477.18 / $477.18 / $477.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.09 / $1,089.63 / $6,313.62
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.49 / $790.53 / $1,548.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,960.00 / $4,409.38 / $5,865.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.83 / $818.76 / $1,094.52