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KO Double Upright Pre Ots

Wisconsin rates for HCPCS K0902

Ko double upright pre ots

Rates data updated July 2026.

How much does KO Double Upright Pre Ots cost?

$1,000

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $2,138 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$891$891 to $1,023
FacilityA hospital or hospital-owned outpatient department$2,138$89.13 to $2,570

How much rates vary

Facilitymedian $2,138 · 10th to 90th $60 to $3,236Professionalmedian $891 · 10th to 90th $794 to $1,023
$100$200$500$1K$2Kfacility $2,138professional $891

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Wisconsin sits

The same service costs 95.5 times more in Virginia than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 7th of 37

$1,000

VA $2,884SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.