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Wisconsin rates for HCPCS 69840

Revise Inner Ear Window

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,260.91 / $2,642.05 / $4,261.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,639.63 / $2,069.92 / $4,324.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.59 / $1,227.61 / $1,785.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.08 / $1,227.61 / $1,785.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.00 / $4,110.00 / $4,110.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.49 / $1,227.61 / $1,785.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,448.50 / $5,448.50 / $5,448.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,802.76 / $4,110.00 / $4,110.00