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Wisconsin rates for HCPCS 80201

Drug Screen Quantitative Topiramate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.30 / $118.08 / $199.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $11.20 / $14.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.63 / $30.99 / $32.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $49.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.55 / $32.36 / $33.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.44 / $37.90 / $58.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $32.10 / $36.47
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.61 / $10.61 / $14.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $10.73 / $86.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $11.92 / $34.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.90 / $24.58 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.61 / $10.61 / $14.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.56 / $29.30 / $81.64
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.84 / $23.84 / $86.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $7.84 / $11.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.38 / $25.38 / $69.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $65.08 / $69.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $10.00 / $32.67