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Wisconsin rates for HCPCS J3120

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Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.85 / $18.02 / $25.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $7.73 / $9.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $65.00 / $65.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00