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Wisconsin rates for HCPCS Q2053

Tecartus IV SUSP 100000000 CELLS

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503,983.75 / $1,082,430.00 / $1,082,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $494,197.65 / $538,235.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $489,304.61 / $733,956.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782,887.40 / $896,848.90 / $896,848.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606,858.56 / $1,100,792.00 / $1,573,510.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462,000.00 / $700,937.63 / $796,520.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489,304.61 / $503,983.75 / $685,026.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449,440.00 / $485,395.20 / $890,400.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996,400.00 / $996,400.00 / $996,400.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $1,194,134.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489,304.61 / $503,983.75 / $705,577.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $489,304.61 / $761,653.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890,400.00 / $890,400.00 / $890,400.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690,639.60 / $897,831.50 / $996,400.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686,983.67 / $686,983.67 / $686,983.67