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Wisconsin rates for HCPCS A4596

Ces System Monthly Supp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.38 / $23.38 / $23.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.08 / $23.38 / $30.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.26 / $40.26 / $66.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.44 / $40.26 / $47.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.26 / $86.16 / $86.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.13 / $126.36 / $167.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.44 / $59.06 / $76.20
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.99 / $32.57 / $40.26
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.26 / $40.26 / $40.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.38 / $32.57 / $41.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.15 / $24.16 / $57.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.99 / $32.72 / $40.26
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.26 / $40.26 / $40.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.26 / $60.39 / $118.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.64 / $81.73 / $188.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.44 / $176.94 / $199.29
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.26 / $40.26 / $40.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.26 / $40.26 / $40.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.04 / $21.15 / $37.40