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Wisconsin rates for HCPCS G0475

Hiv Antigen/Antibody Combination Assay Screening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.90 / $53.70 / $126.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.41 / $22.64 / $28.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.77 / $62.61 / $66.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $103.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.65 / $65.37 / $67.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $24.08 / $24.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.68 / $77.92 / $119.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $31.41 / $73.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $24.08 / $30.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.75 / $28.90 / $114.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $24.08 / $66.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $36.11 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $24.08 / $30.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.70 / $58.37 / $81.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.16 / $51.70 / $114.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.66 / $12.66 / $12.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.77 / $24.77 / $51.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.77 / $95.99 / $131.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.97 / $20.95 / $86.69