go back

Wisconsin rates for HCPCS 51605

Njx & Placement Chain Contrast&/Urethrocstograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.60 / $78.91 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.36 / $38.60 / $128.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $1,183.00 / $1,530.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.74 / $85.77 / $228.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.12 / $115.83 / $153.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.20 / $119.97 / $159.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.63 / $49.35 / $154.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.60 / $77.38 / $1,789.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $135.24 / $3,744.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.51 / $58.14 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.63 / $52.73 / $154.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.75 / $109.48 / $156.71
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.76 / $2,000.00 / $2,000.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.81 / $765.90 / $3,744.05
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.57 / $195.57 / $195.57
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.79 / $226.88 / $226.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,533.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.25 / $108.90 / $227.10