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Wisconsin rates for HCPCS 85400

Fibrinolytic Factors & Inhibitors Plasmin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.25 / $11.57 / $17.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $7.32 / $34.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.57 / $20.05 / $21.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $33.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.43 / $20.92 / $21.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.63 / $25.27 / $38.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $20.76 / $23.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.94 / $7.88 / $9.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.32 / $7.88 / $113.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $7.71 / $21.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $17.34 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.94 / $7.88 / $9.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.42 / $19.01 / $46.12
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.42 / $50.00 / $113.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $5.88 / $8.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $9.11 / $16.42
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $9.11 / $42.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $7.47 / $21.13