go back

Wisconsin rates for HCPCS 62323

Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.38 / $1,792.80 / $3,246.40
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$18.26 / $48.68 / $188.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.31 / $261.64 / $1,370.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.99 / $244.49 / $592.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.37 / $112.04 / $140.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.69 / $241.17 / $313.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.17 / $818.20 / $1,255.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.00 / $438.11 / $1,157.51
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.68 / $231.21 / $476.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.83 / $331.26 / $3,326.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.19 / $502.22 / $1,920.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.05 / $268.54 / $596.71
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.68 / $231.21 / $476.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.52 / $436.39 / $857.76
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.58 / $469.58 / $763.85
Quartz
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$89.92 / $89.92 / $89.92
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.43 / $970.67 / $1,921.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.15 / $870.71 / $1,525.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $3,088.30 / $4,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.81 / $507.80 / $1,112.90