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Wisconsin rates for HCPCS K0902

Ko Double Upright Pre Ots

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,919.39 / $2,242.94 / $3,440.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.75 / $846.68 / $998.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,486.42 / $2,486.42 / $2,486.42
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
$2,486.42 / $2,486.42 / $2,486.42