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Wisconsin rates for HCPCS 0391T

Intergt Eval Inper Leadls P

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.62 / $110.57 / $178.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.56 / $50.01 / $66.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.25 / $166.25 / $166.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.37 / $97.37 / $166.25