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Wisconsin rates for HCPCS Q2052

Services, supplies and accessories used in the home for the administration of intravenous immune globulin (IVIG)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $446.68 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,148.15 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $537.03 / $616.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,380.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $223.87 / $354.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $223.87 / $338.84