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Wisconsin rates for HCPCS 0556T

Bone strength and fracture risk using finite element analysis of functional data, and bone-mineral density, utilizing data from a computed tomography scan; assessment of bone strength and fracture risk and bone mineral density

Facilitymedian $30 · 10th–90th $19$2400%20%10th90th$30Professionalmedian $33 · 10th–90th $22$950%10%20%10th90th$33$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $30.20 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $60.26 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $51.29 / $56.23
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $30.20 / $61.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $30.20 / $141.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $52.48 / $239.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $74.13 / $109.65
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $239.88 / $239.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $239.88 / $239.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $389.05 / $831.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $44.67 / $102.33