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KO Double Upright Pre Ots

Wisconsin rates for HCPCS K0902

Ko double upright pre ots

Rates data updated July 2026.

Facilitymedian $2,138 · 10th–90th $60$3,2360%10%10th90th$2,138Professionalmedian $891 · 10th–90th $794$1,0230%20%40%10th90th$891$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,238.72
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$1,096.48
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89