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Wisconsin rates for HCPCS Q4213

Ascent, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $56.23 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $66.07 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $58.88 / $81.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $58.88 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $263.03
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
$58.88 / $64.57 / $208.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $72.44