go back

Wisconsin rates for HCPCS P9603

Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Miles Actually Travelled. (Special Coverage Instructions Apply. See Mcm: 51141k)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $9.03 / $76.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $2.68 / $5.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.05 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.82 / $2.06
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $29.32 / $30.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $30.86 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.58 / $3.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $1.34 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $29.32 / $30.86
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $2.37 / $3.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $1.92 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.82 / $0.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.24 / $3.86