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Wisconsin rates for HCPCS 87517

Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $281.84 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $40.74 / $181.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $114.82 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $177.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $64.57 / $120.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $46.77 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $138.04 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $102.33 / $134.90
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $234.42 / $371.54
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $288.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $57.54 / $288.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $37.15 / $416.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $58.88 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $109.65 / $181.97
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $204.17 / $204.17
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $239.88 / $416.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $154.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $169.82 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $33.88 / $85.11