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Wisconsin rates for HCPCS 86162

Complement; total hemolytic (CH50)

Facilitymedian $56 · 10th–90th $18$4680%5%10%10th90th$56Professionalmedian $18 · 10th–90th $10$740%20%10th90th$18$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $56.23 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.20 / $35.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $54.95 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $81.28
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $64.57 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $29.51 / $63.10
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $44.67 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $19.50 / $128.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $15.49 / $44.67
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $37.15 / $66.07
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $53.70
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $33.11 / $57.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $51.29 / $165.96
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $128.82
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.49 / $19.95
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $43.65
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $95.50 / $125.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $18.20 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $15.85 / $44.67