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Wisconsin rates for HCPCS 85055

Reticulated Platelet Assay

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.89 / $79.70 / $141.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.31 / $33.95 / $105.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.84 / $92.92 / $98.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.30 / $14.30 / $145.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.84 / $87.34 / $90.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.74 / $35.74 / $35.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.22 / $114.78 / $176.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.89 / $96.24 / $109.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.87 / $17.87 / $42.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.87 / $29.31 / $169.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.73 / $35.74 / $78.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.87 / $53.61 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.87 / $17.87 / $42.89
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.80 / $86.77 / $119.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.48 / $71.48 / $169.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $17.91 / $26.14
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.55 / $27.55 / $76.11
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.55 / $106.75 / $195.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.89 / $42.89 / $42.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.87 / $28.59 / $78.56