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Wisconsin rates for HCPCS 85220

Clotting Factor V Acg/Proaccelerin Labile Factor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $39.36 / $332.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.47 / $17.12 / $69.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.95 / $45.89 / $48.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.72 / $8.72 / $73.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.04 / $47.93 / $49.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.66 / $56.86 / $87.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $47.53 / $54.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.72 / $15.72 / $21.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.47 / $15.89 / $179.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.24 / $17.64 / $48.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $48.71 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.72 / $15.72 / $21.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.57 / $43.56 / $153.76
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.29 / $35.29 / $179.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $11.60 / $17.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.59 / $37.59 / $54.74
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.74 / $54.74 / $96.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.69 / $15.69 / $42.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $14.53 / $51.79