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Wisconsin rates for HCPCS 70355

Orthopantogram (eg, panoramic x-ray)

Facilitymedian $25 · 10th–90th $14$1000%10%20%10th90th$25Professionalmedian $19 · 10th–90th $8$630%5%10th90th$19$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
$14.13 / $14.13 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $20.89 / $44.67
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $14.13 / $38.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$6.03 / $9.55 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $29.51 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $15.49 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$7.76 / $12.30 / $41.69
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $12.88 / $23.99
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.12 / $29.51 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $50.12 / $74.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $26.30 / $39.81
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$11.75 / $25.12 / $34.67
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $41.69 / $56.23
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $22.39 / $30.20
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.22 / $19.50 / $26.30
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
$20.42 / $43.65 / $208.93
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $22.39 / $104.71
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$9.12 / $19.95 / $128.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $33.11 / $64.57
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $44.67 / $70.79
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $24.55 / $38.02
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$10.96 / $20.42 / $32.36
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $48.98 / $199.53
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
$26.92 / $107.15 / $208.93
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $52.48 / $104.71
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.59 / $72.44 / $134.90
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $112.20 / $117.49
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $30.90 / $60.26
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $20.42 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $33.11 / $69.18
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $63.10 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$8.71 / $15.14 / $38.02