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Wisconsin rates for HCPCS 87624

Iadna Human Papillomavirus High-Risk Types

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.25 / $215.05 / $473.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $31.83 / $199.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.44 / $91.23 / $96.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.10 / $35.09 / $150.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.09 / $52.12 / $99.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.09 / $36.84 / $45.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.42 / $112.67 / $172.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.06 / $94.49 / $107.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.02 / $42.11 / $122.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.11 / $144.43 / $403.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.98 / $42.11 / $217.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.09 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.02 / $42.11 / $122.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.20 / $91.16 / $118.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.05 / $166.68 / $166.68
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.51 / $175.45 / $175.45
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $74.73
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $191.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.18 / $28.07 / $96.16