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Wisconsin rates for HCPCS 99150

Moderate Sedation Services (Ot

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.86 / $54.76 / $84.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.36 / $36.70 / $45.43
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.44 / $22.64 / $128.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.44 / $33.47 / $128.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.00 / $320.00 / $320.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.44 / $33.47 / $128.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.00 / $320.00 / $320.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.42 / $320.00 / $320.00