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Wisconsin rates for HCPCS 85303

Clotting inhibitors or anticoagulants; protein C, activity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $147.91 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.30 / $54.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $37.15 / $38.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $54.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $38.90 / $38.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $44.67 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $19.95 / $43.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $30.20 / $109.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $14.13 / $213.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.48 / $33.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $35.48 / $275.42
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $213.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $9.12 / $13.49
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $134.90
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $97.72 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $12.30 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $11.22 / $33.88