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Wisconsin rates for HCPCS 87451

Iaad Ia Polyv Mlt Organisms Ea Polyv Antiserum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.61 / $15.77 / $23.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $9.98 / $37.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.60 / $27.33 / $28.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.74 / $4.74 / $43.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.86 / $26.06 / $27.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $33.70 / $51.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.98 / $28.30 / $32.15
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.08 / $5.08 / $12.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.08 / $8.61 / $70.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $10.51 / $28.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.26 / $18.79 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.08 / $5.08 / $12.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.16 / $25.34 / $35.20
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.02 / $21.02 / $70.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $6.37 / $9.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $22.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $38.25 / $57.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.76 / $8.41 / $28.12