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Wisconsin rates for HCPCS 0722T

Quantitative computed tomography (CT) tissue characterization, including interpretation and report, obtained with concurrent CT examination of any structure contained in the concurrently acquired diagnostic imaging dataset (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.09 / $354.09 / $423.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.79 / $292.74 / $426.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.79 / $292.74 / $426.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.56 / $947.56 / $947.56