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Wisconsin rates for HCPCS 82104

Alpha-1-Antitrypsin Phenotype

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $149.66 / $280.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.42 / $13.08 / $19.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.09 / $37.60 / $39.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $7.14 / $59.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $39.28 / $40.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.46 / $14.46 / $14.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.65 / $46.33 / $71.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $38.94 / $44.25
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $17.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.57 / $13.59 / $97.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.68 / $14.46 / $40.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.16 / $29.82 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $17.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.68 / $35.64 / $69.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.92 / $28.92 / $97.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $9.47 / $14.11
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.79 / $30.79 / $39.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.26 / $50.82 / $78.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.39 / $11.90 / $39.63