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Wisconsin rates for HCPCS 84203

Protoporphyrin, RBC; screen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $21.88 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $10.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $26.30 / $26.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $34.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $6.46 / $6.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $31.62 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $13.80 / $30.20
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $19.50 / $69.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $8.71 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $7.08 / $19.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $30.20 / $64.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $25.12 / $74.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.75 / $8.32
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $20.89
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $53.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $7.76 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $7.08 / $21.38