go back

Wisconsin rates for HCPCS A0428

Bls

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.43 / $232.43 / $232.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.59 / $338.00 / $1,362.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $398.10 / $787.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.20 / $268.20 / $268.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.20 / $268.20 / $268.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.95 / $222.33 / $461.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $89.39 / $232.19
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.20 / $268.20 / $268.20
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.04 / $539.04 / $539.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $250.00 / $250.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.11 / $254.40 / $513.38