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Wisconsin rates for HCPCS 87420

Iaad Ia Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.69 / $31.02 / $132.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.74 / $15.73 / $62.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $36.17 / $38.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $5.92 / $56.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.37 / $34.00 / $35.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.85 / $44.23 / $67.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.11 / $37.46 / $42.56
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $11.13 / $16.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $11.54 / $83.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.35 / $13.91 / $35.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $38.39 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $11.13 / $16.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.78 / $34.06 / $51.16
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.82 / $50.00 / $83.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.37 / $7.84 / $11.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.62 / $29.62 / $29.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.87 / $29.87 / $75.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.13 / $11.13 / $30.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $13.91 / $29.70