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Wisconsin rates for HCPCS 81374

Hla I Low Resolution One Antigen Equivalent Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.20 / $165.76 / $257.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.46 / $77.80 / $168.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.81 / $193.26 / $204.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.92 / $74.33 / $319.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.33 / $110.40 / $205.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.33 / $78.05 / $96.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.55 / $239.04 / $366.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.49 / $200.16 / $227.45
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.23 / $89.20 / $260.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.90 / $89.20 / $260.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.11 / $59.55 / $267.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.23 / $89.20 / $260.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.50 / $189.61 / $253.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.25 / $353.07 / $353.07
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.78 / $371.65 / $371.65
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.84 / $74.84 / $158.29
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.84 / $246.51 / $405.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $59.46 / $208.43