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Wisconsin rates for HCPCS 84315

Specific Gravity Except Urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $4.92 / $7.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.12 / $9.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.05 / $8.52 / $9.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.31 / $13.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $8.02 / $8.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $10.53 / $16.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $8.83 / $10.03
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $2.41 / $3.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $2.69 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.75 / $7.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $4.92 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $2.41 / $3.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $7.92 / $24.57
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.56 / $6.56 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.68 / $2.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $6.98 / $7.21
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.21 / $11.89 / $17.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.28 / $3.28 / $3.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $2.31 / $8.69