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Wisconsin rates for HCPCS 94250

Expired Gas Collection Quant 1 Procedure Spx

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $79.43 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $74.13 / $87.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $151.36 / $151.36