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Wisconsin rates for HCPCS 0491T

Abl Laser Tx Open Wnd Pr Day 1st 20 Sqcm/<

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.00 / $2,856.00 / $4,471.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $13.54 / $15.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.25 / $1,049.25 / $1,049.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.91 / $485.91 / $485.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $70.00 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.52 / $696.56 / $1,049.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.75 / $485.91 / $485.91