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Wisconsin rates for HCPCS 90620

Menb-4c Recombnt Prot & Outer Memb Vesic Vacc Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.74 / $241.74 / $453.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.00 / $256.00 / $562.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.87 / $241.87 / $284.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.58 / $533.41 / $762.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.88 / $230.59 / $279.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.74 / $284.39 / $284.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.59 / $386.68 / $509.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.13 / $267.95 / $379.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $65.00 / $556.52
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.74 / $284.39 / $284.39
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.31 / $1,006.31 / $1,006.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.58 / $265.58 / $265.58
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.77 / $125.77 / $125.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.13 / $267.95 / $379.41