go back

Wisconsin rates for HCPCS 80186

Phenytoin; free

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $30.90 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.02 / $19.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $37.15 / $38.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $53.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $44.67 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $19.95 / $42.66
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $30.20 / $93.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $12.88 / $81.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $9.77 / $28.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $32.36 / $64.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $35.48 / $81.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $81.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $9.12 / $13.49
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $54.95
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $58.88 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $12.30 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.77 / $30.90