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Wisconsin rates for HCPCS G0472

Hepatitis C antibody screening for individual at high risk and other covered indication(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.50 / $94.50 / $284.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.16 / $36.15 / $46.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.65 / $120.51 / $127.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.54 / $18.54 / $185.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $70.39 / $113.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.35 / $46.35 / $46.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.96 / $149.53 / $229.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.37 / $60.47 / $89.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.18 / $41.72 / $59.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.18 / $46.35 / $220.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $27.81 / $83.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.18 / $65.00 / $127.93
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.18 / $41.72 / $59.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.44 / $112.80 / $157.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.70 / $92.70 / $220.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.53 / $24.37 / $24.37
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.68 / $14.68 / $98.70
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.68 / $71.95 / $253.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.76 / $23.18 / $37.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $27.81 / $83.43