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Wisconsin rates for HCPCS 87529

Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $281.84 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $53.70 / $234.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $93.33 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $144.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $52.48 / $100.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $38.90 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $112.20 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $85.11 / $109.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $186.21 / $281.84
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $234.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $102.33 / $288.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $35.48 / $323.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $58.88 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $89.13 / $147.91
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $204.17 / $204.17
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $194.98 / $323.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $138.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $141.25 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $28.18 / $77.62