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Wisconsin rates for HCPCS 96376

Ther Proph/Dx Njx Ea Seql Iv Push Sbst/Drug Fac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.56 / $268.29 / $842.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.39 / $10.69 / $17.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.82 / $15.76 / $33.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.60 / $43.01 / $67.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.37 / $29.96 / $34.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.31 / $13.13 / $19.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.47 / $134.60 / $203.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.21 / $22.05 / $42.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.31 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.31 / $13.13 / $19.59
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.47 / $25.33 / $31.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.00 / $114.00 / $114.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.99 / $10.99 / $46.21
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.19 / $43.19 / $43.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.26 / $21.87 / $39.97