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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
$1,905.46 / $2,238.72 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $891.25 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $1,096.48
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89