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Wisconsin rates for HCPCS 81268

Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each cell type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.95 / $529.04 / $709.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.81 / $247.75 / $539.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.70 / $678.05 / $717.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.78 / $260.79 / $1,121.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.14 / $708.14 / $735.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.29 / $838.21 / $1,285.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.43 / $702.25 / $798.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.81 / $312.95 / $912.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.71 / $312.95 / $912.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.26 / $213.47 / $938.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $260.79
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.81 / $312.95 / $912.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.90 / $679.71 / $886.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.04 / $1,238.75 / $1,238.75
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.15 / $1,303.95 / $1,303.95
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.30 / $268.30 / $555.36
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.30 / $883.69 / $1,423.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.43 / $208.63 / $630.40