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Wisconsin rates for HCPCS 0626T

Auto Quan&Charac Coronary Plaq Rev Cptr Alys I&R

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.04 / $45.04 / $66.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.53 / $168.82 / $530.90
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.71 / $55.16 / $88.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.04 / $66.45 / $121.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.91 / $178.22 / $463.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.71 / $58.48 / $88.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.64 / $166.60 / $237.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.96 / $2,489.36 / $2,489.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.92 / $463.54 / $463.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.91 / $154.07 / $353.40