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Wisconsin rates for HCPCS 84022

Assay Of Phenothiazine

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $61.66 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $30.20 / $36.31
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $19.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $19.50
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $100.00