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Wisconsin rates for HCPCS 36514

Therapeutic Apheresis Plasma Pheresis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.30 / $2,543.06 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.93 / $464.78 / $921.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,046.00 / $5,962.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.28 / $651.50 / $2,496.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.47 / $109.34 / $144.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.98 / $767.48 / $942.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,828.37 / $2,136.60 / $3,277.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.94 / $447.86 / $2,387.19
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.04 / $285.74 / $928.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.88 / $587.39 / $3,242.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.04 / $1,591.05 / $4,916.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.36 / $663.91 / $1,516.86
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.04 / $285.74 / $959.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.44 / $737.74 / $2,305.73
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.18 / $419.33 / $4,989.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.36 / $2,462.26 / $4,916.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.35 / $645.79 / $4,707.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,960.00 / $3,583.00 / $5,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.38 / $1,052.02 / $2,813.24