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Wisconsin rates for HCPCS 38790

Injection Procedure Lymphangiography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.86 / $297.54 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $1,183.00 / $1,530.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.06 / $244.30 / $324.70
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.86 / $111.73 / $350.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.19 / $167.33 / $1,789.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.86 / $115.29 / $350.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.55 / $235.14 / $335.57
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.82 / $2,000.00 / $2,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,533.00 / $2,202.90