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Wisconsin rates for HCPCS 72127

Ct Cervical Spine W/O &W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$116.54 / $125.21 / $125.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.54 / $354.90 / $438.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.98 / $77.33 / $127.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.88 / $504.58 / $1,557.20
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.27 / $138.54 / $458.71
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$156.79 / $183.23 / $243.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.14 / $712.59 / $809.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.27 / $209.99 / $238.63
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$561.91 / $561.91 / $561.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.23 / $670.74 / $2,293.84
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.45 / $165.44 / $523.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $157.40 / $377.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.70 / $582.33 / $1,142.33
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$142.65 / $561.91 / $561.91
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.12 / $1,258.34 / $2,293.84
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.45 / $313.14 / $523.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.59 / $1,269.75 / $1,269.75
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$178.13 / $209.56 / $342.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.87 / $588.25 / $1,071.76
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.36 / $146.16 / $311.73