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Prescription Medicine Level Test

Wisconsin rates for HCPCS 80161

Measures how much of one particular prescription medicine is present in the body at the time the sample is taken. Tests like this are used for medicines whose safe range is narrow, so the dose can be raised or lowered to keep the level effective without becoming toxic.

Facilitymedian $49 · 10th–90th $15$870%10%10th90th$49Professionalmedian $17 · 10th–90th $7$560%10%10th90th$17$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$51.29
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$15.14
Typical High
$21.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$51.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$66.07
CareSource
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$60.26
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$26.92
Typical High
$57.54
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$64.57
Typical High
$109.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$15.14
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$11.22
Typical High
$33.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$28.18
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$22.39
Typical High
$53.70
Network Health
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$19.05
Typical High
$37.15
Quartz
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$43.65
Typical High
$61.66
Quartz
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$89.13
Quartz
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$9.77
Security Health
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$39.81
Security Health
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$102.33
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$14.79
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$11.22
Typical High
$33.11