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Wisconsin rates for HCPCS 81267

Chimerism W/Comp To Baseline W/O Cell Selection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.95 / $311.19 / $803.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.74 / $197.09 / $429.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.04 / $539.40 / $570.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.45 / $207.46 / $892.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.50 / $610.29 / $610.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.30 / $667.62 / $1,024.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.30 / $558.65 / $634.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.74 / $248.95 / $726.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.71 / $248.95 / $726.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.33 / $169.82 / $746.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $207.46
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.74 / $248.95 / $726.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.65 / $540.76 / $705.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.71 / $985.44 / $985.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.82 / $1,037.30 / $1,037.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.44 / $213.44 / $441.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.44 / $702.99 / $1,132.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.87 / $165.97 / $501.49