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Wisconsin rates for HCPCS A9999

Miscellaneous DME supply or accessory, not otherwise specified

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $100.00 / $281.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $6.61 / $6.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $5,888.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $602.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79