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Wisconsin rates for HCPCS 0204U

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,034.39 / $9,388.82 / $15,143.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,792.78 / $7,861.90 / $8,933.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,678.40 / $11,678.40 / $11,678.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,678.40 / $11,678.40 / $11,678.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,727.21 / $5,727.21 / $6,364.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,087.44 / $11,678.40 / $11,678.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,758.79 / $11,678.40 / $11,678.40