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Wisconsin rates for HCPCS Q4172

Puraply or puraply am

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.07 / $173.92 / $246.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.38 / $112.76 / $128.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.90 / $603.90 / $603.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.68 / $295.68 / $295.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.12 / $603.90 / $603.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.68 / $295.68 / $295.68
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.09 / $99.96 / $99.96