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Wisconsin rates for HCPCS 86653

Antibody Encephalitis St. Louis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.83 / $19.79 / $117.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.82 / $12.53 / $22.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.36 / $34.29 / $36.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $6.51 / $52.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.59 / $35.79 / $37.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.04 / $42.12 / $64.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $35.52 / $40.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $11.75 / $15.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.82 / $11.87 / $119.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $10.55 / $29.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $20.50 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $11.75 / $15.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.12 / $32.47 / $64.67
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.38 / $28.02 / $119.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.99 / $8.66 / $12.81
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $5.99 / $28.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $38.33 / $72.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $10.55 / $43.18