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Wisconsin rates for HCPCS 80374

Stereoisomer (enantiomer) analysis, single drug class

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $51.29 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $26.30 / $74.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $43.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $112.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $14.13 / $42.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $54.95 / $79.43
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $151.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $13.49 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $13.80 / $43.65