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Wisconsin rates for HCPCS 84540

Assay Of Urea Nitrogen Urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.67 / $62.40 / $79.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.30 / $6.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.95 / $14.46 / $15.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $22.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $13.59 / $14.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $5.56 / $5.56
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 / $14.97 / $17.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $4.45 / $6.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $4.92 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $5.21 / $13.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $9.31 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $4.45 / $6.67
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $13.46 / $46.12
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.12 / $11.12 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.10 / $4.70
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.84 / $11.84 / $32.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.94 / $32.54 / $32.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $4.01 / $11.77