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Wisconsin rates for HCPCS 71275

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

Facilitymedian $191 · 10th–90th $166$6610%20%10th90th$191Professionalmedian $214 · 10th–90th $81$8320%10%10th90th$214$10.0$50.0$200.0$1.0K$5.0K

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
$165.96 / $190.55 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $467.74 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $104.71 / $676.08
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $239.88 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $436.52 / $1,621.81
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $131.83 / $489.78
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $316.23 / $1,148.15
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $239.88 / $354.81
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$223.87 / $263.03 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $724.44 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $204.17 / $346.74
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $549.54 / $831.76
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $630.96 / $851.14
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $190.55 / $257.04
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$371.54 / $446.68 / $602.56
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$575.44 / $812.83 / $812.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $724.44 / $3,162.28
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $281.84 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $524.81 / $2,691.53
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $467.74
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $707.95 / $1,122.02
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $204.17 / $323.59
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $562.34 / $831.76
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $707.95 / $1,258.93
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $794.33 / $794.33
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $1,819.70 / $3,311.31
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $446.68 / $1,000.00
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $1,513.56 / $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
$223.87 / $223.87 / $223.87
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
$977.24 / $1,659.59 / $2,089.30
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$269.15 / $302.00 / $512.86
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$676.08 / $741.31 / $1,258.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $1,148.15 / $2,238.72
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $436.52 / $660.69
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $416.87 / $933.25