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Wisconsin rates for HCPCS A9699

Radiopharm Rx Agent Noc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,453.80 / $27,453.80 / $27,453.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,453.80 / $32,344.32 / $37,937.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46,342.19 / $88,058.74 / $177,863.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,437.90 / $38,437.90 / $67,831.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,453.80 / $37,937.89 / $99,655.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,453.80 / $37,937.89 / $99,655.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67,831.58 / $303,364.75 / $303,364.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,453.80 / $37,937.89 / $99,655.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51,726.74 / $107,829.28 / $158,759.15
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247,449.59 / $247,449.59 / $247,449.59
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,437.90 / $200,409.84 / $303,364.75