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Wisconsin rates for HCPCS 70496

Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Facilitymedian $186 · 10th–90th $162$6310%10%20%10th90th$186Professionalmedian $219 · 10th–90th $79$8320%10%10th90th$219$20.0$100.0$500.0$2.0K

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
$89.13 / $186.21 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $426.58 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $128.82 / $616.60
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $229.09 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $426.58 / $1,621.81
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $128.82 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $338.84 / $1,148.15
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $239.88 / $346.74
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$218.78 / $251.19 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $676.08 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $194.98 / $338.84
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $549.54 / $812.83
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $616.60 / $851.14
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $181.97 / $245.47
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $436.52 / $602.56
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$616.60 / $776.25 / $1,737.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $707.95 / $3,235.94
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $229.09 / $691.83
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $549.54 / $2,754.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $630.96
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $831.76 / $1,318.26
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $194.98 / $316.23
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $588.84 / $1,122.02
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $691.83 / $1,230.27
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$190.55 / $758.58 / $758.58
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $1,621.81 / $3,235.94
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $426.58 / $562.34
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $1,348.96 / $2,754.23
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,621.81 / $2,041.74
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$257.04 / $288.40 / $467.74
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$660.69 / $741.31 / $1,230.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $1,047.13 / $2,187.76
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $331.13 / $630.96
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $478.63 / $891.25