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Wisconsin rates for HCPCS 70100

Radiologic examination, mandible; partial, less than 4 views

Facilitymedian $22 · 10th–90th $13$1000%10%20%10th90th$22Professionalmedian $34 · 10th–90th $9$1070%5%10th90th$34$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.88 / $12.88 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $40.74 / $95.50
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $10.00 / $20.89
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $30.90 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $57.54 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.51 / $13.49 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $44.67 / $147.91
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$22.39 / $26.30 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $104.71 / $158.49
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $22.39 / $35.48
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $81.28 / $123.03
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $83.18 / $114.82
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $19.05 / $26.30
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $66.07 / $91.20
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $64.57 / $295.12
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $18.20 / $54.95
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $48.98 / $281.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $72.44 / $154.88
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $20.42 / $33.11
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $51.29 / $117.49
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $102.33 / $144.54
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $177.83 / $295.12
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $44.67 / $54.95
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $131.83 / $281.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $194.98 / $245.47
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $25.12 / $48.98
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $60.26 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $95.50 / $275.42
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $47.86 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $38.02 / $95.50