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Wisconsin rates for HCPCS 69949

Unlisted procedure, inner ear

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $4,168.69 / $4,168.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,090.30 / $5,754.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,623.41 / $10,471.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,445.44 / $2,089.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $4,570.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,548.82 / $1,949.84