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Wisconsin rates for HCPCS 73030

Radiologic examination, shoulder; complete, minimum of 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $363.08 / $616.60
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.71 / $15.49 / $22.91
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$48.98 / $316.23 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $39.81 / $173.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $16.98 / $66.07
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$33.88 / $79.43 / $199.53
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $40.74 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $51.29 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.71 / $13.49 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$46.77 / $77.62 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.42 / $37.15 / $117.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $37.15 / $54.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $30.90 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $109.65 / $177.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.44 / $27.54 / $43.65
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$70.79 / $83.18 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $75.86 / $141.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $19.05 / $37.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $54.95 / $104.71
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $60.26 / $295.12
DeanCare
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$223.87 / $269.15 / $354.81
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $75.86 / $102.33
DeanCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $19.95 / $26.30
DeanCare
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$95.50 / $112.20 / $154.88
DeanCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.77 / $53.70 / $70.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $199.53 / $416.87
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.61 / $100.00 / $162.18
Medica
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$117.49 / $346.74 / $478.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $79.43 / $288.40
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.47 / $31.62 / $89.13
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.39 / $46.77 / $177.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $91.20 / $138.04
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $363.08 / $363.08
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$100.00 / $165.96 / $165.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $223.87 / $223.87
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.22 / $46.77 / $89.13
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.30 / $112.20 / $177.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $154.88 / $218.78
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $25.70 / $42.66
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.69 / $48.98 / $112.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $46.77 / $114.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.33 / $14.13 / $31.62
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $33.11 / $81.28