go back

Wisconsin rates for HCPCS 83014

Hpylori Drug Administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.43 / $17.53 / $78.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $7.14 / $10.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $20.44 / $21.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.82 / $5.82 / $32.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.36 / $21.33 / $22.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $7.86 / $7.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.63 / $25.27 / $38.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $21.16 / $24.05
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $7.00 / $9.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.45 / $7.39 / $70.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $7.86 / $21.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $16.21 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $7.00 / $9.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $19.01 / $33.04
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.72 / $15.72 / $70.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $5.23 / $7.58
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $8.09 / $16.73
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $37.26 / $42.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $6.49 / $21.54