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Wisconsin rates for HCPCS G0499

Hepatitis B Screening In Non-Pregnant High Risk Individual Includes Hepatitis B Surface Antigen (Hbsag) Followed By A Neutralizing Confirmatory Test For Initially Reactive Results And Antibodies To Hbsag (Anti-Hbs) And Hepatitis B Core Antigen (Anti-Hbc).

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.18 / $33.92 / $33.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.78 / $73.50 / $77.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.96 / $13.96 / $115.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.75 / $36.75 / $42.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.50 / $90.56 / $138.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.98 / $36.56 / $54.79
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.98 / $25.44 / $36.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.98 / $28.27 / $134.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.96 / $28.27 / $73.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $42.41 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.98 / $25.44 / $36.19
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.56 / $68.63 / $95.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.54 / $56.54 / $134.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.86 / $14.86 / $14.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.20 / $60.20 / $60.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.35 / $154.35 / $154.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $22.62 / $73.29