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Wisconsin rates for HCPCS 50325

Bkbench Prepj Living Renal Donor Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.28 / $196.28 / $17,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.58 / $196.28 / $532.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.21 / $484.02 / $1,334.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.08 / $542.30 / $874.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.19 / $563.76 / $640.64
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.47 / $227.75 / $362.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.28 / $2,553.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.51 / $447.37 / $968.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.97 / $85.00 / $577.79
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.47 / $227.75 / $362.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.02 / $471.70 / $679.09
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,572.30 / $1,572.30 / $1,572.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.66 / $4,072.50 / $5,262.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.20 / $913.20 / $913.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.69 / $1,083.69 / $1,083.69
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
$189.92 / $536.03 / $867.97