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Wisconsin rates for HCPCS 84157

Protein Total Xcpt Refractometry Oth Src

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.51 / $67.45 / $119.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.27 / $4.24 / $14.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.60 / $10.40 / $11.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $16.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $9.94 / $10.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.81 / $12.64 / $19.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $10.77 / $12.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.26 / $4.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $4.80 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $4.00 / $10.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $7.18 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.26 / $4.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $9.50 / $13.20
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.45 / $3.66
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $8.44 / $8.52
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $18.50 / $21.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $3.20 / $9.07