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Wisconsin rates for HCPCS 70480

Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.49 / $134.90 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $281.84 / $758.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $109.65 / $331.13
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.00 / $158.49 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $316.23 / $933.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $91.20 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.00 / $208.93 / $630.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $120.23 / $204.17
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$158.49 / $186.21 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $436.52 / $660.69
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $125.89 / $245.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $275.42 / $416.87
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $354.81 / $588.84
DeanCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $134.90 / $181.97
DeanCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $223.87 / $426.58
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$575.44 / $575.44 / $575.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $457.09 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $144.54 / $524.81
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $316.23 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $316.23
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $407.38 / $707.95
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$141.25 / $562.34 / $562.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $851.14 / $1,659.59
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $316.23 / $524.81
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $616.60 / $1,318.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,348.96
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$208.93 / $229.09 / $288.40
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$363.08 / $537.03 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $354.81 / $724.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $102.33 / $229.09
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $251.19 / $537.03