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Wisconsin rates for HCPCS 39540

Rpr Diphrg Hrna Oth/Thn Neonatal Traumtc Aqt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.01 / $1,690.56 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,084.00 / $12,066.00 / $19,370.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.94 / $2,492.52 / $4,020.35
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.01 / $910.27 / $1,995.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.57 / $2,245.10 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.01 / $961.74 / $1,995.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,684.80 / $2,592.00 / $3,616.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,983.92 / $7,983.92 / $7,983.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00