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Wisconsin rates for HCPCS 70542

Mri Orbit Face & Neck W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$160.66 / $160.66 / $179.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.33 / $475.00 / $856.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.33 / $691.90 / $2,141.27
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$200.05 / $233.77 / $310.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.44 / $970.83 / $1,103.21
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$717.20 / $717.20 / $717.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.88 / $936.21 / $3,348.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.47 / $190.52 / $494.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.45 / $791.70 / $1,326.78
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$182.43 / $717.20 / $717.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.25 / $1,834.75 / $3,348.15
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,700.43 / $1,729.86 / $2,531.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.02 / $807.68 / $1,513.10