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Wisconsin rates for HCPCS 69400

Eustachian Tube Nfltj Transnsl Cathj

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $446.68 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $213.80 / $295.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $616.60 / $616.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,288.25 / $1,288.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $616.60 / $616.60