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Wisconsin rates for HCPCS 82642

Dihydrotestosterone (Dht)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.14 / $65.29 / $202.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.92 / $26.15 / $27.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.95 / $76.13 / $80.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.01 / $13.01 / $119.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $79.50 / $82.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.28 / $29.28 / $29.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.20 / $93.72 / $143.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.86 / $78.84 / $89.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.52 / $15.52 / $35.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.52 / $26.35 / $139.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $29.28 / $68.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.64 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.52 / $15.52 / $35.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.78 / $70.19 / $100.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.56 / $58.56 / $139.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $15.52 / $15.52
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.53 / $32.53 / $62.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.53 / $94.53 / $159.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.28 / $29.28 / $29.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $26.02 / $58.55