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Wisconsin rates for HCPCS 83704

Lipoprotein Blood Quan Numbers & Subclasses

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.03 / $76.23 / $263.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.49 / $28.60 / $46.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.51 / $88.89 / $94.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.58 / $15.58 / $141.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.93 / $85.68 / $89.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.19 / $34.19 / $34.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.72 / $109.52 / $168.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.24 / $92.07 / $104.63
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.10 / $28.10 / $41.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.04 / $30.36 / $162.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $34.19 / $92.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.10 / $55.00 / $94.36
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.10 / $28.10 / $41.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.28 / $83.95 / $116.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.38 / $68.38 / $162.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.74 / $29.06 / $29.06
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.81 / $72.81 / $97.85
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.85 / $97.85 / $186.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.93 / $26.64 / $78.09