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Wisconsin rates for HCPCS 90296

Diphtheria antitoxin, equine, any route

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $537.03 / $537.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $85.11
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $40.74