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Wisconsin rates for HCPCS 80169

Drug Assay Everolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.48 / $30.62 / $280.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.99 / $12.91 / $16.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.52 / $35.70 / $37.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $6.78 / $56.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $37.29 / $38.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.85 / $44.23 / $67.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $36.97 / $42.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.19 / $12.19 / $16.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.26 / $12.19 / $65.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $13.73 / $38.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $37.89 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.19 / $12.19 / $16.48
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.79 / $33.26 / $46.20
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.46 / $27.46 / $65.22
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $8.49
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $29.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $54.75 / $74.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $11.24 / $38.03