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Wisconsin rates for HCPCS 73521

Radiologic examination, hips, bilateral, with pelvis when performed; 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $354.81 / $691.83
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.23 / $15.85 / $22.39
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$33.88 / $398.11 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $57.54 / $162.18
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $15.85 / $42.66
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$38.02 / $38.02 / $177.83
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$38.02 / $147.91 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.99 / $36.31 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $61.66 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.47 / $16.98 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$58.88 / $93.33 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $45.71 / $151.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $43.65 / $64.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $36.31 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $131.83 / $208.93
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.18 / $32.36 / $52.48
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$83.18 / $97.72 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $89.13 / $169.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.48 / $23.44 / $43.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.84 / $66.07 / $123.03
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $72.44 / $537.03
DeanCare
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$380.19 / $467.74 / $616.60
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $91.20 / $123.03
DeanCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $23.99 / $32.36
DeanCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $66.07 / $91.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $61.66 / $346.74
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.79 / $70.79 / $70.79
Medica
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$138.04 / $309.03 / $436.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $70.79 / $263.03
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.75 / $21.38 / $67.61
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.84 / $51.29 / $194.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $97.72 / $144.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $363.08 / $363.08
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.12 / $70.79 / $70.79
Quartz
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$70.79 / $194.98 / $194.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $190.55 / $263.03
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.80 / $56.23 / $67.61
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.11 / $134.90 / $194.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $107.15 / $257.04
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $25.70 / $38.90
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.29 / $60.26 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $58.88 / $138.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.48 / $17.38 / $38.02
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $41.69 / $97.72