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Wisconsin rates for HCPCS 38240

Trnsplj Allogeneic Hematopoietic Cells Per Donor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.07 / $502.40 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,139.00 / $15,738.00 / $23,778.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.29 / $742.39 / $1,197.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.07 / $303.29 / $483.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.07 / $5,266.00 / $15,743.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.07 / $303.29 / $483.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.65 / $721.00 / $999.91
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87,223.00 / $87,223.00 / $87,223.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00