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Wisconsin rates for HCPCS 96402

Chemotx Admn Subq/Im Hormonal Anti-Neo

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.34 / $47.14 / $172.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $59.95 / $130.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.03 / $42.19 / $72.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.29 / $87.20 / $131.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $68.31 / $314.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $52.71 / $71.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.80 / $85.54 / $118.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.51 / $151.90 / $314.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.86 / $123.81 / $123.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.38 / $54.68 / $110.95