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Wisconsin rates for HCPCS 73219

Mri Upper Extremity Oth Than Jt W/Contr Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$160.66 / $160.66 / $179.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.08 / $475.00 / $1,057.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.93 / $821.23 / $2,652.77
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$200.95 / $234.83 / $312.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.61 / $1,199.40 / $1,362.95
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$720.40 / $720.40 / $720.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.12 / $1,050.47 / $3,350.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.83 / $230.51 / $615.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.95 / $976.72 / $1,459.46
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$183.20 / $720.40 / $720.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.17 / $1,882.75 / $3,350.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,012.27 / $2,137.25 / $2,607.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.86 / $957.38 / $1,837.64