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Wisconsin rates for HCPCS 69949

Unlisted Procedure Inner Ear

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,894.00 / $1,894.00 / $17,823.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.00 / $1,449.00 / $2,090.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,377.56 / $4,377.56 / $4,377.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,377.56 / $4,377.56 / $4,377.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90