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Wisconsin rates for HCPCS 84119

Porphyrins Urine Qualitataive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.03 / $20.04 / $29.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.69 / $33.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.72 / $34.74 / $36.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $5.34 / $54.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.61 / $32.65 / $33.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.95 / $43.17 / $66.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $35.97 / $40.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.67 / $8.28 / $16.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.67 / $10.96 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $12.03 / $25.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $30.39 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.67 / $8.28 / $16.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.58 / $32.47 / $79.06
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.72 / $50.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $5.76 / $8.36
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $12.36 / $28.45
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $41.14 / $72.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $10.69 / $25.26