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Wisconsin rates for HCPCS 84275

Sialic acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.13 / $20.16 / $29.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $12.77 / $52.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.90 / $34.94 / $36.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.64 / $6.64 / $55.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.17 / $36.49 / $37.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.95 / $43.17 / $66.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $36.19 / $41.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.96 / $11.96 / $16.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.02 / $12.10 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $13.44 / $37.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $26.34 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.96 / $11.96 / $16.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.42 / $33.26 / $150.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.88 / $26.88 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $8.82 / $13.07
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.82 / $13.82 / $28.62
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.82 / $45.53 / $73.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $11.26 / $37.22