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Wisconsin rates for HCPCS 72190

Radiologic examination, pelvis; complete, minimum of 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.20 / $18.20 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $53.70 / $120.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $19.05 / $41.69
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $32.36 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $63.10 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.48 / $18.20 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $44.67 / $151.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $36.31 / $53.70
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.62 / $37.15 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $97.72 / $173.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.48 / $25.70 / $50.12
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.84 / $69.18 / $123.03
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $93.33 / $125.89
DeanCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.39 / $26.92 / $37.15
DeanCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.95 / $66.07 / $91.20
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.20 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $77.62 / $269.15
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.30 / $26.30 / $97.72
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $54.95 / $208.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $109.65 / $190.55
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $213.80 / $269.15
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.18 / $63.10 / $97.72
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.62 / $158.49 / $208.93
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $190.55 / $263.03
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $29.51 / $57.54
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.54 / $69.18 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $58.88 / $141.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.75 / $18.62 / $40.74
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $41.69 / $97.72