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Wisconsin rates for HCPCS 77777

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Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,467.92 / $1,715.39 / $2,631.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.72 / $1,033.40 / $1,757.47
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.70 / $760.50 / $1,118.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.70 / $760.50 / $1,118.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,522.00 / $4,522.00 / $4,522.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.70 / $760.50 / $1,118.81
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,563.56 / $5,563.56 / $5,563.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,398.88 / $4,522.00 / $4,522.00