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Wisconsin rates for HCPCS 80152

Drug Screen Quantitative Amitriptyline

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.28 / $71.61 / $109.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.08 / $35.11 / $163.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.94 / $15.94 / $21.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.94 / $15.94 / $21.98
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.94 / $15.94 / $21.98
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $60.00 / $90.00