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Wisconsin rates for HCPCS 87389

Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $133.66 / $238.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $20.99 / $28.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.77 / $62.61 / $66.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $103.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.95 / $65.37 / $67.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $24.08 / $24.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.68 / $77.92 / $119.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.67 / $64.84 / $73.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.47 / $20.47 / $28.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.47 / $100.32 / $188.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.33 / $24.08 / $60.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $47.22 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.47 / $20.47 / $28.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.43 / $58.61 / $81.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.16 / $51.70 / $114.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $12.76 / $15.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.77 / $24.77 / $51.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.77 / $95.99 / $131.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.97 / $20.47 / $65.98