go back

Wisconsin rates for HCPCS 83664

Fetal Lung Maturity Lamellar Body Density

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.18 / $28.98 / $43.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.84 / $18.35 / $74.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.54 / $50.23 / $53.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $9.34 / $79.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.44 / $51.34 / $53.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.17 / $62.13 / $95.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.30 / $52.03 / $59.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.85 / $16.85 / $23.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.84 / $17.39 / $91.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $19.32 / $55.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $37.09 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.85 / $16.85 / $23.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.11 / $46.28 / $66.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.64 / $38.64 / $91.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.24 / $12.41 / $18.55
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.14 / $41.14 / $41.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.20 / $41.20 / $105.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $15.86 / $55.50