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Wisconsin rates for HCPCS Q4171

Interfyl 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.39 / $10.39 / $10.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $10.39 / $11.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $10.09 / $29.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.82 / $16.04 / $16.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.91 / $29.11 / $41.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $15.47 / $20.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.09 / $10.60 / $15.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.61 / $10.93 / $19.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.61 / $10.61 / $38.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.09 / $10.60 / $15.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $13.69 / $78.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.15 / $75.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $33.15 / $75.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.17 / $14.17 / $14.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $10.09 / $13.12