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Wisconsin rates for HCPCS 86381

Mitochondrial Antibody Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.54 / $56.79 / $353.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $20.84 / $30.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.72 / $66.17 / $69.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $14.46 / $103.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.45 / $26.72 / $64.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.45 / $25.45 / $25.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.29 / $82.14 / $126.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.32 / $47.69 / $77.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.23 / $13.23 / $30.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.23 / $30.54 / $129.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.97 / $20.36 / $53.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $25.45 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.23 / $13.23 / $30.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $60.93 / $86.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.90 / $60.64 / $120.89
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.42 / $12.42 / $13.49
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.45 / $25.45 / $54.20
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $153.46 / $175.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.45 / $73.95 / $138.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.73 / $20.36 / $53.45