go back

Wisconsin rates for HCPCS Q4206

Fluid Flow or Fluid GF, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,344.23 / $2,454.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,754.23 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,454.71 / $3,467.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,454.71 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $10,964.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $5,888.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $8,709.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,754.23