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Wisconsin rates for HCPCS 78111

Plasma Vol Radiopharm Vol Dilute Spx Mult Smples

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.72 / $13.72 / $21.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.53 / $25.60 / $40.38
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00