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Wisconsin rates for HCPCS 83864

Mucopolysaccharides, acid, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.20 / $42.75 / $63.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.37 / $27.08 / $78.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.28 / $74.09 / $78.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $11.40 / $116.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.76 / $69.65 / $72.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.40 / $91.61 / $140.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.63 / $76.75 / $87.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.73 / $19.14 / $34.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.73 / $23.37 / $135.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $22.80 / $58.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $42.75 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.73 / $19.14 / $34.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.44 / $69.70 / $123.85
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.00 / $57.00 / $135.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.33 / $19.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.69 / $60.69 / $77.95
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.95 / $82.83 / $155.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $17.10 / $58.42