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Wisconsin rates for HCPCS 86612

Antibody Blastomyces

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.90 / $28.77 / $115.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.58 / $15.48 / $25.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.74 / $33.54 / $35.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.37 / $6.37 / $51.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.36 / $35.04 / $36.42
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 / $34.74 / $39.47
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.50 / $11.50 / $15.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.58 / $12.42 / $90.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $10.32 / $28.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $19.35 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.50 / $11.50 / $15.48
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.77 / $31.68 / $44.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.80 / $27.41 / $90.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.84 / $8.49 / $12.55
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.85 / $18.85 / $27.47
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.85 / $18.85 / $70.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.45 / $10.32 / $12.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.91 / $7.74 / $28.67