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Wisconsin rates for HCPCS 77399

Unlistd Px Med Radj Physic Dosim&Tx Dev&Spec Svc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $528.66 / $817.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.79 / $513.79 / $513.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.49 / $339.49 / $339.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,335.23 / $3,335.23 / $3,335.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,335.23 / $3,335.23 / $3,335.23