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Wisconsin rates for HCPCS 86965

Pooling Platelets/Other Blood Products

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.42 / $26.10 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.82 / $13.82 / $131.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.28 / $71.61 / $109.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $43.65 / $102.50
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.16 / $25.92 / $43.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.10 / $26.38 / $50.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.64 / $19.30 / $206.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $104.33
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.16 / $26.15 / $47.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.60 / $56.00 / $101.63
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.04 / $140.10 / $140.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $160.94 / $206.17
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.92 / $89.92 / $89.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.92 / $89.92 / $89.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $19.30 / $45.07