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Wisconsin rates for HCPCS 69401

Eustachian Tube Inflation, Transnasal; Without Catheterization

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.18 / $264.31 / $426.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.78 / $200.43 / $361.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $373.91 / $373.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $1,300.00 / $1,300.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $244.69 / $373.91