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Wisconsin rates for HCPCS 87254

Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $29.51 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $17.78 / $28.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $52.48 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $77.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $63.10 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $28.18 / $61.66
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $42.66 / $154.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $18.20 / $112.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $16.22 / $43.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $33.11 / $69.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $50.12 / $69.18
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $112.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $12.88 / $19.05
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $52.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $56.23 / $120.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $17.38 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $15.85 / $43.65