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Wisconsin rates for HCPCS 86384

Nitroblue Tetrazolium Dye Test Ntd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.32 / $20.42 / $30.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.16 / $12.93 / $44.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.26 / $35.39 / $37.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $55.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $33.26 / $34.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.85 / $44.23 / $67.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $36.65 / $41.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.14 / $10.89 / $16.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.14 / $11.16 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $12.50 / $33.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $22.31 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.14 / $10.89 / $16.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.96 / $33.26 / $83.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.22 / $50.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.21 / $7.51 / $11.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.72 / $11.72 / $28.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.72 / $54.00 / $74.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $10.89 / $33.40