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Wisconsin rates for HCPCS 69715

Implj Osseointegrated Temporal Bone W/O Mastoid

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,336.85 / $3,899.37 / $6,289.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,517.30 / $4,007.98 / $5,301.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,185.00 / $9,404.85 / $9,404.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71,377.70 / $71,377.70 / $71,377.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,567.13 / $9,404.85 / $9,404.85