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Wisconsin rates for HCPCS 81241

F5 Coagulation Factor V Anal Leiden Variant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.04 / $163.62 / $602.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.69 / $68.97 / $288.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.75 / $190.76 / $201.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.18 / $73.37 / $314.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.37 / $108.97 / $186.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.37 / $77.04 / $94.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.85 / $235.88 / $361.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.25 / $197.57 / $224.51
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.49 / $88.04 / $256.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.03 / $99.05 / $336.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.49 / $50.29 / $366.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $66.70 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.49 / $88.04 / $256.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.55 / $179.06 / $248.62
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.76 / $348.51 / $348.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.39 / $366.85 / $366.85
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.87 / $62.87 / $156.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.87 / $203.74 / $400.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.02 / $49.94 / $147.72