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Wisconsin rates for HCPCS 84166

Protein Electrop Fxj&Quan Oth Flus Concentrati

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.40 / $81.00 / $175.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.31 / $16.17 / $28.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.15 / $40.09 / $42.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.80 / $10.87 / $73.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.51 / $18.72 / $50.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $17.82 / $17.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.66 / $56.86 / $87.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $48.02 / $65.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.97 / $16.97 / $21.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.62 / $17.16 / $159.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.70 / $17.82 / $49.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.92 / $49.21 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.97 / $16.97 / $21.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.04 / $82.44 / $116.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.65 / $35.65 / $159.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $17.04 / $31.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.97 / $37.97 / $66.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.12 / $66.12 / $97.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $14.95 / $48.86