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Wisconsin rates for HCPCS 41250

Rpr Lac 2.5 Cm/< Mouth&/Ant Two-Thirds Tong

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.19 / $560.20 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,419.00 / $4,441.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.84 / $885.60 / $1,358.53
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.54 / $244.20 / $477.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.22 / $263.23 / $1,020.32
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.66 / $235.47 / $524.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.94 / $612.00 / $965.26
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.45 / $1,081.85 / $2,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,641.00 / $2,202.90