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Wisconsin rates for HCPCS 86665

Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $158.49 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $25.70 / $70.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $48.98 / $50.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $72.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $50.12 / $51.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $57.54 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $25.70 / $56.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $39.81 / $144.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $21.88 / $208.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $14.79 / $44.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $35.48 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $46.77 / $63.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $54,954.09
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.02 / $17.78
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $60.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $66.07 / $112.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $16.22 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $14.79 / $44.67