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Wisconsin rates for HCPCS Q0163

Diphenhydramine Hcl 50mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.06 / $8.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.28 / $1.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.36 / $0.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.32 / $0.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $1.05 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.40 / $0.63
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.33
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $34.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.33
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.75 / $1.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $34.13
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.39 / $0.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03