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Wisconsin rates for HCPCS 84392

Assay Of Sulfate Urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.59 / $43.04 / $57.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.26 / $5.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.80 / $14.27 / $15.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $22.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $13.42 / $13.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.49 / $5.49 / $5.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.32 / $17.89 / $27.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $14.78 / $16.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $4.38 / $6.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $4.94 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $5.21 / $13.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $9.31 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $4.38 / $6.59
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $13.46 / $26.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.98 / $10.98 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $3.10 / $4.70
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.69 / $11.69 / $14.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.96 / $19.36 / $29.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $4.38 / $13.94