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Wisconsin rates for HCPCS 87255

Virus Id Non-Immunologic Oth/Thn Cytopathic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.63 / $75.51 / $249.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $30.48 / $40.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.80 / $88.04 / $93.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.72 / $16.72 / $140.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.82 / $91.94 / $95.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.82 / $108.46 / $166.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.24 / $91.18 / $103.61
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.16 / $30.16 / $40.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.77 / $30.47 / $161.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $33.86 / $93.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.16 / $30.16 / $40.63
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.38 / $83.16 / $115.50
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.72 / $67.72 / $161.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.95 / $22.37 / $33.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.84 / $34.84 / $72.11
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.84 / $170.80 / $184.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $28.39 / $83.83