go back

Wisconsin rates for HCPCS 38241

Hematopoietic progenitor cell (HPC); autologous transplantation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $371.54 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $8,709.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $549.54 / $870.96
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $6,918.31 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $3,235.94 / $6,165.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $380.19 / $645.65
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $5,011.87 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,456.54