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Wisconsin rates for HCPCS G0477

Drug Test Presump Optical

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.04 / $42.12 / $64.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.45 / $18.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $60.00 / $90.00