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Wisconsin rates for HCPCS A9699

Radiopharmaceutical, therapeutic, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,542.29 / $27,542.29 / $27,542.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,379.62 / $28,840.32 / $38,018.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47,863.01 / $91,201.08 / $165,958.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,810.72 / $39,810.72 / $39,810.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,018.94 / $38,018.94 / $67,608.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,542.29 / $38,018.94 / $100,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,542.29 / $52,480.75 / $100,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,608.30 / $301,995.17 / $301,995.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51,286.14 / $112,201.85 / $208,929.61
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,810.72 / $39,810.72 / $301,995.17
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,018.94 / $67,608.30 / $301,995.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,708.82 / $45,708.82 / $45,708.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46,773.51 / $54,954.09 / $58,884.37