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Wisconsin rates for HCPCS 85415

Fibrinolytic factors and inhibitors; plasminogen activator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $46.77 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $19.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $46.77 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $69.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $54.95 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $24.55 / $53.70
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $37.15 / $138.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $16.22 / $147.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.13 / $38.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $33.88 / $64.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $43.65 / $91.20
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $147.91
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $11.22 / $16.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $36.31
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $15.14 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $13.80 / $42.66