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Wisconsin rates for HCPCS 86277

Growth Hormone Human Antibody

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.89 / $23.61 / $35.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.91 / $14.95 / $61.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.84 / $40.92 / $43.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.77 / $7.77 / $65.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.64 / $42.74 / $44.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.25 / $50.55 / $77.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $42.38 / $48.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.02 / $14.02 / $18.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $14.17 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $15.74 / $43.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $30.85 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.02 / $14.02 / $18.89
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.23 / $38.81 / $142.77
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.48 / $37.52 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.34 / $10.45 / $15.42
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $16.19 / $33.52
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $78.17 / $85.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.74 / $15.74 / $15.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.13 / $13.19 / $43.14