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Wisconsin rates for HCPCS 0728T

Dx Alys Vestibular Implant Unilateral 1st Prgrmg

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.10 / $95.10 / $119.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $70.00