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Wisconsin rates for HCPCS G6040

Alcohol (ethanol); any specimen except breath

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.14 / $41.07 / $63.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.63 / $15.06 / $18.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $60.00 / $90.00