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Wisconsin rates for HCPCS 72069

X-Ray Exam Trunk Spine Stand

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.20 / $93.72 / $124.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.17 / $56.46 / $96.02
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.59 / $60.13 / $150.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.37 / $60.13 / $168.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.00 / $197.00 / $197.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.59 / $60.13 / $150.82
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.28 / $243.60 / $243.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.50 / $197.00 / $197.00