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Wisconsin rates for HCPCS 84580

Urobilinogen Urine Quantitative Timed Specimen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.46 / $14.33 / $21.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $9.07 / $27.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.53 / $24.83 / $26.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $4.03 / $38.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $23.34 / $24.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.13 / $30.54 / $46.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.15 / $25.72 / $29.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.32 / $6.83 / $11.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.32 / $7.83 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $7.78 / $20.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $14.33 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.32 / $6.83 / $11.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $23.76 / $35.18
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.10 / $50.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.74 / $4.74 / $7.06
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $20.34
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $33.64 / $52.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $5.99 / $20.83