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Wisconsin rates for HCPCS 99472

Subsq Ped Critical Care 29 Days Thru 24 Mo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.35 / $724.10 / $1,010.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.65 / $469.56 / $624.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.47 / $1,198.34 / $1,838.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.98 / $404.51 / $809.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.98 / $404.59 / $809.12
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.98 / $404.51 / $809.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.99 / $935.52 / $1,304.59
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.80 / $451.80 / $1,795.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.10 / $482.10 / $482.10