go back

Wisconsin rates for HCPCS 86603

Antibody Adenovirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.44 / $19.30 / $28.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.55 / $11.49 / $15.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.67 / $33.46 / $35.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $6.36 / $51.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.33 / $34.95 / $36.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.14 / $41.07 / $63.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.87 / $34.65 / $39.39
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.46 / $11.46 / $15.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.55 / $11.58 / $72.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $10.30 / $28.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $19.30 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.46 / $11.46 / $15.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.73 / $31.68 / $60.17
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.74 / $27.34 / $72.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.82 / $8.49 / $12.55
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $5.99 / $27.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $23.19 / $70.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.91 / $10.30 / $28.60