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Definitive Drug Test For Propoxyphene

Wisconsin rates for HCPCS 80367

A laboratory test that identifies and measures propoxyphene, an older prescription pain medicine, in a urine or blood sample. It names the specific substance and reports how much is present, rather than simply flagging that something from a broad group may be there.

Rates data updated July 2026.

How much does Definitive Drug Test For Propoxyphene cost?

$18.20

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $17.78 from a physician practice, and about $18.20 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$17.78$5.01 to $46.77
FacilityA hospital or hospital-owned outpatient department$18.20$18.20 to $29.51

How much rates vary

Facilitymedian $18 · 10th to 90th $14 to $50Professionalmedian $18 · 10th to 90th $5 to $74
$2$5$10$20$50$100facility $18professional $18

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$16.98
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$11.48
Typical High
$74.13
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$43.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$18.20
Typical High
$112.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.13
Typical High
$42.66
Network Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$43.65
Quartz
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$54.95
Typical High
$79.43
Quartz
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$151.36
Quartz
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$56.23
Security Health
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Security Health
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$19.05
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.13
Typical High
$41.69

Where Wisconsin sits

The same service costs 2398.8 times more in North Dakota than in Pennsylvania. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 12th of 51

$18.20

ND $72.44PA $0.03

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.