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Wisconsin rates for HCPCS 86689

Antibody Htlv/Hiv Antibody Confirmatory Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.22 / $43.15 / $249.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.87 / $18.38 / $76.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.60 / $50.31 / $53.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $9.56 / $80.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.53 / $52.57 / $54.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.17 / $62.13 / $95.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.30 / $52.11 / $59.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.23 / $17.23 / $23.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.87 / $17.42 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $19.35 / $53.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $37.94 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.23 / $17.23 / $23.22
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.66 / $47.52 / $66.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.70 / $41.11 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $12.74 / $18.82
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.21 / $41.21 / $143.91
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.16 / $143.91 / $143.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.35 / $19.35 / $19.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $16.23 / $53.03