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Wisconsin rates for HCPCS 38204

Mgmt Rcp Hematop Progenitor Cell Donor &Acquisj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.64 / $205.65 / $366.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.03 / $95.64 / $342.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.67 / $266.44 / $697.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.72 / $301.17 / $485.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.28 / $310.27 / $410.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.64 / $116.99 / $196.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.54 / $2,553.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.35 / $271.11 / $582.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $206.29 / $246.81
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.64 / $116.99 / $196.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.00 / $301.11 / $433.08
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $1,300.00 / $1,300.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.10 / $502.05 / $1,607.11
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.56 / $438.56 / $438.56
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.24 / $549.50 / $549.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.45 / $276.19 / $496.25