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Wisconsin rates for HCPCS 80340

Antiepileptics Not Otherwise Specified 4-6

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $5.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.96 / $53.70 / $82.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.06 / $26.33 / $122.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.56 / $13.56 / $13.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.56 / $13.56 / $13.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.34 / $65.00 / $3,000.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.56 / $13.56 / $13.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.82 / $23.82 / $23.82
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00