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Wisconsin rates for HCPCS 73090

Radiologic examination; forearm, 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $263.03 / $457.09
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.51 / $13.18 / $16.22
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$32.36 / $181.97 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $30.90 / $109.65
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $15.85 / $56.23
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$15.49 / $50.12 / $141.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.98 / $28.84 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $43.65 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.41 / $11.75 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$41.69 / $66.07 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $32.36 / $107.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $30.90 / $45.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $25.70 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $93.33 / $147.91
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.95 / $22.91 / $37.15
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$58.88 / $69.18 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $63.10 / $117.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.13 / $16.98 / $31.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.42 / $46.77 / $87.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $43.65 / $288.40
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
$53.70 / $64.57 / $87.10
DeanCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.13 / $16.98 / $22.91
DeanCare
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$79.43 / $95.50 / $131.83
DeanCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.81 / $47.86 / $64.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $60.26 / $288.40
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $138.04
Medica
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$100.00 / $354.81 / $478.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $58.88 / $186.21
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.71 / $19.95 / $64.57
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.95 / $38.90 / $162.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $74.13 / $114.82
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $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 / $138.04 / $138.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $138.04 / $186.21
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $41.69 / $64.57
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $97.72 / $162.18
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $131.83 / $181.97
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $22.91 / $36.31
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.15 / $45.71 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $40.74 / $100.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.13 / $12.59 / $26.92
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.50 / $28.84 / $69.18