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Wisconsin rates for HCPCS 81228

Cytog Alys Chrmoml Abnor Copy Number Vrnt Cgh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.00 / $1,350.00 / $2,007.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.36 / $1,050.00 / $1,235.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,935.00 / $2,340.00 / $2,475.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $900.00 / $3,854.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,199.52 / $2,199.52 / $2,286.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,477.17 / $2,894.78 / $4,440.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.15 / $2,423.52 / $2,754.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.00 / $1,080.00 / $3,150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.00 / $1,080.00 / $3,150.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $540.00 / $2,775.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $516.91
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.00 / $1,080.00 / $3,150.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.25 / $2,194.44 / $3,009.57
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $4,275.00 / $4,275.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.00 / $4,500.00 / $4,500.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,916.59 / $1,916.59 / $1,916.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,615.59 / $4,914.00 / $4,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.00 / $540.00 / $1,890.00