go back

Wisconsin rates for HCPCS 80195

Drug Screen Quantitative Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.48 / $20.60 / $30.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.26 / $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
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $13.73 / $13.73
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
$12.23 / $12.23 / $16.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.26 / $12.36 / $83.93
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 / $23.25 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.23 / $12.23 / $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 / $28.45 / $83.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $8.98 / $12.63
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.24 / $29.24 / $69.94
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.75 / $69.94 / $74.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.48 / $16.48 / $16.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $11.50 / $31.14