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Wisconsin rates for HCPCS 84143

17-Hydroxypregnenolone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.37 / $50.87 / $97.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $20.67 / $27.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.04 / $59.31 / $62.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.26 / $11.26 / $94.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.56 / $61.93 / $64.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.08 / $73.70 / $113.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.43 / $61.42 / $69.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.32 / $20.32 / $27.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.70 / $20.53 / $172.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.69 / $22.81 / $63.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.41 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.32 / $20.32 / $27.37
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $56.23 / $123.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.62 / $45.62 / $172.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.09 / $15.02 / $22.22
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.57 / $48.57 / $67.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.98 / $67.98 / $124.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.23 / $18.77 / $56.50