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Wisconsin rates for HCPCS 84207

Assay Of Pyridoxal Phosphate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.77 / $181.91 / $382.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.27 / $25.09 / $33.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.42 / $73.06 / $77.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.88 / $13.88 / $116.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.17 / $76.30 / $79.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.10 / $28.10 / $28.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.50 / $90.56 / $138.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.21 / $75.67 / $85.99
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.02 / $25.02 / $33.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.02 / $33.72 / $143.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $28.10 / $82.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.02 / $25.02 / $33.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.34 / $68.90 / $218.33
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.20 / $56.20 / $137.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.89 / $18.62 / $27.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.84 / $59.84 / $80.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.80 / $80.80 / $153.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $23.55 / $69.55