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Wisconsin rates for HCPCS 50395

Create Passage To Kidney

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.76 / $524.41 / $845.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.54 / $546.01 / $712.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.00 / $1,692.26 / $1,692.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,857.30 / $6,857.30 / $6,857.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.75 / $1,692.26 / $1,692.26