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Wisconsin rates for HCPCS 71552

Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences

Facilitymedian $288 · 10th–90th $224$5500%20%10th90th$288Professionalmedian $468 · 10th–90th $112$1,5140%5%10th90th$468$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
$223.87 / $288.40 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $602.56 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $177.83 / $380.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $457.09 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $776.25 / $2,754.23
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $165.96 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$371.54 / $645.65 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$281.84 / $331.13 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $1,288.25 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $251.19 / $436.52
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$436.52 / $1,071.52 / $1,548.82
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,047.13 / $1,479.11
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $234.42 / $316.23
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$676.08 / $812.83 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,348.96 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $239.88 / $933.25
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$512.86 / $1,071.52 / $5,370.32
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $870.96
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,230.27 / $1,819.70
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $251.19 / $426.58
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$562.34 / $954.99 / $1,548.82
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,174.90 / $2,454.71
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$251.19 / $977.24 / $977.24
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $3,388.44 / $6,165.95
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $549.54 / $933.25
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$524.81 / $3,019.95 / $5,623.41
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$933.25 / $933.25 / $933.25
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,019.95 / $3,890.45
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$457.09 / $616.60 / $758.58
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,659.59 / $2,754.23 / $3,162.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $1,548.82 / $3,801.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $501.19 / $812.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $851.14 / $1,778.28