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Wisconsin rates for HCPCS 86653

Antibody; encephalitis, St. Louis

Facilitymedian $28 · 10th–90th $12$1170%10%10th90th$28Professionalmedian $12 · 10th–90th $6$430%10%10th90th$12$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $29.51 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $15.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $35.48 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $46.77
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $41.69 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $40.74
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $27.54 / $46.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $12.30 / $120.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $7.94 / $20.42
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $32.36 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $15.85 / $20.42
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.49 / $37.15
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $33.11 / $64.57
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $120.23
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $8.71 / $12.88
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $28.18
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $29.51 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $11.75 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $7.94 / $21.88