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Wisconsin rates for HCPCS 36450

Blood Exchange Transfusion Newborn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.00 / $1,894.00 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.22 / $193.63 / $292.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,297.00 / $4,433.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.94 / $286.30 / $872.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.65 / $514.92 / $789.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.90 / $446.10 / $602.74
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.69 / $207.67 / $416.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.68 / $239.05 / $1,789.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.90 / $327.67 / $1,705.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.60 / $160.92 / $373.45
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.59 / $208.82 / $400.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.39 / $393.61 / $713.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.75 / $1,344.10 / $1,344.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.07 / $950.25 / $1,705.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.87 / $899.87 / $899.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.26 / $1,120.44 / $1,188.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,630.00 / $2,153.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.34 / $263.64 / $745.42