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Wisconsin rates for HCPCS 69644

Tmpp Mastoidect Ntc/Rcnsted Canal Wall Ocr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,413.60 / $3,092.90 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,982.05 / $4,653.34 / $7,505.67
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,413.60 / $1,997.72 / $2,955.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.57 / $7,217.00 / $15,126.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,413.60 / $2,095.58 / $2,955.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,944.50 / $4,530.00 / $5,355.82
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,547.20 / $16,547.20 / $16,547.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,217.00 / $11,608.00 / $13,980.00