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Wisconsin rates for HCPCS 81316

Pml/Raralpha Single Breakpoint Qual/Quan

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.77 / $310.97 / $462.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.63 / $196.94 / $462.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.72 / $539.01 / $570.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.38 / $207.31 / $891.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.95 / $562.95 / $585.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.41 / $666.57 / $1,022.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.30 / $558.24 / $634.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.63 / $248.77 / $725.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.58 / $248.77 / $725.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $258.19 / $905.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $85.00 / $572.17
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.63 / $248.77 / $725.59
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.65 / $541.07 / $824.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.62 / $984.72 / $984.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.15 / $1,036.55 / $1,488.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.32 / $325.32 / $441.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.32 / $602.49 / $1,260.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.97 / $207.31 / $746.32