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Wisconsin rates for HCPCS 86684

Antibody Haemophilus Influenza

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.01 / $35.32 / $207.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $14.89 / $62.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.06 / $41.18 / $43.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $7.82 / $65.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $43.01 / $44.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.25 / $50.55 / $77.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $42.66 / $48.48
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $14.12 / $19.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.99 / $14.26 / $114.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.30 / $15.84 / $43.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.92 / $31.06 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $14.12 / $19.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.36 / $38.81 / $54.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.68 / $33.65 / $114.75
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $10.45 / $15.42
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.72 / $33.72 / $70.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.15 / $70.40 / $86.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.92 / $12.95 / $46.49