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Wisconsin rates for HCPCS G6057

Assay of phenothiazine

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.36 / $60.02 / $92.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $22.02 / $26.72
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $60.00 / $90.00