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Wisconsin rates for HCPCS 80051

Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.63 / $141.12 / $320.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $7.01 / $27.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.07 / $18.23 / $19.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $5.20 / $30.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $19.79 / $20.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.01 / $7.01 / $7.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.92 / $22.11 / $33.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $18.88 / $21.45
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.58 / $5.61 / $8.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.58 / $33.40 / $127.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $7.01 / $19.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $13.75 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.58 / $5.61 / $8.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $17.42 / $51.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.02 / $14.02 / $60.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.57 / $6.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.15 / $10.15 / $14.93
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.15 / $33.26 / $38.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.01 / $7.01 / $7.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $5.78 / $19.21