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Wisconsin rates for HCPCS 84126

Porphyrins Feces Quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.93 / $58.67 / $87.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.07 / $37.15 / $100.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.09 / $101.69 / $107.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.64 / $15.64 / $159.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.62 / $95.58 / $99.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.23 / $125.31 / $192.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.02 / $105.31 / $119.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.68 / $24.51 / $46.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.68 / $32.07 / $185.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $31.29 / $74.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.68 / $24.51 / $46.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.98 / $95.83 / $255.42
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.22 / $78.22 / $185.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.82 / $17.05 / $24.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.29 / $83.29 / $119.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.64 / $119.64 / $213.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.60 / $31.29 / $74.73