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Wisconsin rates for HCPCS 80304

Insurance Carrier
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $72.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $89.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $177.83