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Wisconsin rates for HCPCS L7499

Upper Extremi Prosthes, Not Otherwise Specified

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,682.23 / $2,682.23 / $2,682.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.06 / $1,703.06 / $1,703.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $85.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $1,703.06
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,682.23 / $2,682.23 / $2,682.23