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Wisconsin rates for HCPCS 85291

Clotting Factor Xiii Fibrn Stabiliz Screen Solub

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.93 / $13.67 / $20.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.47 / $8.65 / $34.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.59 / $23.69 / $25.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.38 / $37.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $24.15 / $25.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.23 / $29.48 / $45.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $24.53 / $27.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.92 / $7.92 / $10.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $8.19 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.47 / $9.11 / $25.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $17.42 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.92 / $7.92 / $10.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.87 / $22.18 / $127.39
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.22 / $18.22 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $5.88 / $8.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.39 / $19.39 / $54.74
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.08 / $49.74 / $54.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $7.45 / $24.97