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Wisconsin rates for HCPCS 81490

Autoimmune Rheumatoid Arthritis Alys 12 Bmrk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.78 / $1,260.98 / $1,874.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.52 / $790.21 / $1,008.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,807.40 / $2,185.69 / $2,311.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.26 / $580.04 / $3,561.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.11 / $2,054.46 / $2,135.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,313.17 / $2,703.13 / $4,146.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.01 / $2,263.69 / $2,572.39
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.39 / $756.59 / $1,652.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.39 / $790.21 / $3,993.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.07 / $590.61 / $2,328.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $85.00 / $2,320.19
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.39 / $756.59 / $1,652.75
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.69 / $2,004.61 / $2,811.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,681.30 / $1,681.30 / $3,993.09
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.94 / $4,203.25 / $4,203.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.96 / $442.96 / $1,790.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.96 / $756.59 / $4,589.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.37 / $504.39 / $1,564.79