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KO Double Upright Pre Ots

Wisconsin rates for HCPCS K0902

Ko double upright pre ots

Rates data updated October 2026.

How much rates vary

Facilitymedian $2,188 · 10th to 90th $89 to $3,236Professionalmedian $933 · 10th to 90th $794 to $1,023
$100$200$500$1K$2Kfacility $2,188professional $933

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$2,187.76
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$891.25
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Medica
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89