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Wisconsin rates for HCPCS 79005

Rp Therapy Oral Administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$126.64 / $126.64 / $175.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.29 / $156.04 / $224.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.53 / $267.97 / $832.81
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$219.87 / $256.94 / $394.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.90 / $472.68 / $537.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.50 / $357.43 / $1,114.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.25 / $117.87 / $247.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.61 / $318.68 / $571.55
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$464.00 / $464.00 / $464.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.78 / $676.55 / $1,114.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.84 / $825.22 / $825.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.88 / $348.71 / $650.65