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Wisconsin rates for HCPCS 85475

Hemolysin Acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.64 / $13.31 / $19.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.27 / $8.43 / $34.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.07 / $23.06 / $24.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.38 / $36.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $24.10 / $25.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.33 / $28.43 / $43.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $23.88 / $27.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.90 / $7.90 / $10.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.27 / $7.98 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $8.86 / $24.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $17.39 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.90 / $7.90 / $10.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $21.38 / $47.68
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.73 / $50.00 / $75.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $5.88 / $8.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.13 / $9.13 / $18.89
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.13 / $9.13 / $48.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.89 / $7.89 / $21.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $7.44 / $26.04