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Wisconsin rates for HCPCS 84392

Sulfate, urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $39.81 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.27 / $6.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $14.79 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $21.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $13.80 / $13.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $17.78 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.76 / $16.98
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $10.96 / $38.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $5.13 / $67.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.89 / $10.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $16.60 / $64.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $13.80 / $26.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $3.09 / $4.68
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $14.79
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $4.37 / $6.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.89 / $11.75