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Wisconsin rates for HCPCS 81560

Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorithm reported as a rejection risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,412.54 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $524.81 / $776.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,041.74 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $1,995.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $2,344.23 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $524.81 / $3,019.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $380.19 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $954.99
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,513.56 / $2,089.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $3,019.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $1,230.27