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Wisconsin rates for HCPCS 0331T

Myocrd Sympathetic Innervaj Img Plnr Qual&Quant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.27 / $109.27 / $109.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.27 / $161.27 / $177.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.85 / $305.63 / $1,087.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.14 / $271.14 / $579.22
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.39 / $193.73 / $366.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.27 / $206.64 / $3,338.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.03 / $422.41 / $1,224.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.39 / $193.73 / $254.86
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.88 / $415.49 / $574.20
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,042.45 / $4,042.45 / $4,042.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.15 / $746.15 / $1,308.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.12 / $401.19 / $1,169.59