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Wisconsin rates for HCPCS 80143

Drug Assay Acetaminophen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.57 / $197.16 / $492.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.22 / $15.83 / $25.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.08 / $48.46 / $51.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $7.46 / $76.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $19.57 / $47.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.64 / $18.64 / $18.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.36 / $60.02 / $92.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $50.19 / $57.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.69 / $9.69 / $22.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.69 / $38.85 / $243.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $18.64 / $39.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.32 / $27.96 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.69 / $9.69 / $22.37
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $44.74 / $63.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.28 / $37.28 / $88.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.66 / $9.77 / $9.77
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.64 / $18.64 / $39.69
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.64 / $54.17 / $101.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.64 / $18.64 / $18.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.32 / $14.91 / $49.43