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Wisconsin rates for HCPCS 84315

Specific gravity (except urine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $7.24 / $9.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $8.91 / $9.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $12.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $10.47 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.68 / $10.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $6.61 / $19.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.95 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.09 / $6.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $32.36 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $8.51 / $24.55
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $6.61 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.70 / $2.34
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $7.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $10.00 / $17.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.63 / $3.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.04 / $6.31