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Wisconsin rates for HCPCS 96999

Unlisted Special Dermatological Service/Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.92 / $182.05 / $393.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $490.86 / $652.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.08 / $508.08 / $508.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.40 / $517.50 / $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