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Wisconsin rates for HCPCS 87905

Infectious Agent Enzymatic Actv Oth/Thn Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.66 / $27.25 / $68.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.41 / $14.27 / $76.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.27 / $31.77 / $33.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.05 / $12.22 / $52.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.22 / $18.14 / $34.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.22 / $12.83 / $15.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.34 / $38.96 / $59.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $32.90 / $37.39
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.41 / $14.66 / $42.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.00 / $14.66 / $70.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.33 / $10.32 / $43.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.22 / $50.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.41 / $14.66 / $42.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.70 / $32.08 / $41.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.21 / $80.00 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.28 / $61.10 / $100.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $12.57 / $26.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $48.71 / $66.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $9.77 / $33.49