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Wisconsin rates for HCPCS 77013

Ct Guidance &Monitoring Visc Tiss Ablation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$350.43 / $378.61 / $378.61
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$471.29 / $550.73 / $888.32
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,693.28 / $1,693.28 / $1,693.28