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Wisconsin rates for HCPCS Q4172

Puraply or puraply am

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $173.78 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $114.82 / $131.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $602.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $95.50 / $117.49