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Wisconsin rates for HCPCS K0901

Ko Single Upright Pre Ots

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,055.44 / $2,401.96 / $3,684.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.38 / $906.70 / $1,069.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,849.18 / $2,849.18 / $2,849.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $60.00 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,849.18 / $2,849.18 / $2,849.18