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Wisconsin rates for HCPCS C2615

Sealant, pulmonary, liquid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $660.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $660.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $239.88 / $660.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $64.57 / $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 / $389.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68