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Wisconsin rates for HCPCS D0470

Diagnostic Casts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.29 / $27.06 / $31.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.02 / $79.52 / $183.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.29 / $28.45 / $89.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.29 / $34.18 / $136.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.34 / $221.34 / $221.34
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
$24.29 / $28.45 / $89.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.68 / $70.84 / $99.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.36 / $62.36 / $162.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $205.50 / $221.34
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.20 / $94.20 / $99.74