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Wisconsin rates for HCPCS 73202

Ct Upper Extremity W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$112.29 / $119.95 / $119.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.13 / $349.00 / $669.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.46 / $62.45 / $159.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.13 / $600.30 / $1,988.36
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.15 / $133.50 / $439.54
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$150.49 / $175.86 / $233.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.71 / $898.33 / $1,020.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.97 / $201.12 / $228.55
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$537.20 / $537.20 / $537.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.91 / $713.91 / $2,077.23
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.63 / $158.87 / $394.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $182.56 / $440.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.85 / $729.38 / $1,175.93
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$136.63 / $537.20 / $537.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.35 / $1,187.15 / $2,077.23
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.71 / $300.70 / $394.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.78 / $1,473.27 / $1,473.27
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$201.29 / $212.42 / $328.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.98 / $649.80 / $1,175.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.65 / $137.84 / $263.56