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Wisconsin rates for HCPCS 69400

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Facilitymedian $468 · 10th–90th $380–$7410%10%10th90th$468Professionalmedian $263 · 10th–90th $107–$6170%10%10th90th$263$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $446.68 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $213.80 / $295.12
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $616.60 / $616.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $1,288.25 / $1,288.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $616.60 / $616.60