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Wisconsin rates for HCPCS 85130

Chromogenic substrate assay

Facilitymedian $31 · 10th–90th $10$3550%10%10th90th$31Professionalmedian $11 · 10th–90th $6$480%10%10th90th$11$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $32.36 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $14.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $31.62 / $32.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $47.86
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $38.02 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $16.98 / $37.15
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $25.70 / $95.50
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $11.22 / $114.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $9.77 / $26.92
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $33.11 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $33.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $19.50 / $33.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $30.90 / $60.26
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $114.82
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.76 / $11.75
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $70.79
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $64.57 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $10.47 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $9.55 / $26.92