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Wisconsin rates for HCPCS 51797

Void Pressure Studies Intraabdominal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.56 / $419.58 / $1,894.00
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.28 / $80.80 / $144.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.13 / $213.94 / $722.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.63 / $50.67 / $433.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.17 / $160.28 / $595.12
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
$138.63 / $457.13 / $1,205.33
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.71 / $105.20 / $272.08
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.15 / $356.18 / $876.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.33 / $149.33 / $215.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.10 / $159.35 / $332.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.34 / $603.39 / $973.24
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.93 / $117.94 / $190.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.17 / $602.16 / $723.69
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.86 / $122.88 / $162.58
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$176.28 / $479.30 / $561.11
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.24 / $200.56 / $947.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.24 / $947.60 / $1,789.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.66 / $433.26 / $956.00
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.39 / $140.28 / $907.84
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.08 / $317.04 / $1,117.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.35 / $143.96 / $361.96
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.24 / $200.56 / $947.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.70 / $458.58 / $588.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,922.50 / $2,922.50 / $2,922.50
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$181.86 / $181.86 / $181.86
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.35 / $858.94 / $1,531.99
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.76 / $257.93 / $907.84
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.60 / $645.08 / $1,117.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.97 / $1,138.64 / $1,138.64
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$191.29 / $215.61 / $270.01
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$359.85 / $375.36 / $572.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.09 / $433.26 / $764.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.06 / $132.19 / $196.58
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.62 / $317.04 / $530.91