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Wisconsin rates for HCPCS 87190

Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $16.22 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $7.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $19.50 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $24.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $22.91 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $10.96 / $22.91
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $14.45 / $22.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $6.61 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $4.37 / $13.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $10.96 / $64.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $18.62 / $29.51
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $5.50
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $134.90
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $39.81 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $5.89 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $4.37 / $14.13