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Wisconsin rates for HCPCS 82638

Dibucaine number

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.70 / $18.38 / $27.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.05 / $11.64 / $48.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.34 / $31.85 / $33.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $50.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $33.26 / $34.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.34 / $38.96 / $59.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $32.99 / $37.49
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.91 / $10.91 / $14.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.05 / $11.03 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $12.25 / $33.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.13 / $24.01 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.91 / $10.91 / $14.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.97 / $30.10 / $98.81
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.50 / $24.50 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $8.00 / $12.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $12.60 / $26.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $35.60 / $66.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.13 / $10.08 / $33.93