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Wisconsin rates for HCPCS 0504T

Cor Ffr Cta Data Review W/Interpj & Final Report

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.93 / $117.94 / $180.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $63.70 / $72.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.63 / $106.63 / $160.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.87 / $467.87 / $467.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.63 / $106.63 / $160.91
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.63 / $193.35 / $467.87