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Wisconsin rates for HCPCS D0460

Pulp Vitality Tests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.57 / $17.35 / $20.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.39 / $44.64 / $106.03
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.57 / $18.23 / $57.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.57 / $21.91 / $64.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.32 / $283.32 / $283.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $1,250.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.57 / $18.23 / $57.24
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.86 / $45.43 / $63.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.60 / $37.60 / $885.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.60 / $101.05 / $283.32
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.33 / $44.33 / $46.94