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Wisconsin rates for HCPCS 73580

Radiologic Exam Knee Arthrography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.45 / $62.51 / $62.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.77 / $137.44 / $223.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.03 / $30.17 / $58.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.11 / $282.62 / $806.27
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.02 / $60.57 / $170.02
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$184.66 / $473.92 / $1,290.88
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.30 / $92.67 / $123.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.41 / $386.97 / $439.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.82 / $105.18 / $119.53
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$137.78 / $137.78 / $137.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.46 / $326.68 / $963.76
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.38 / $72.67 / $236.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.20 / $101.89 / $248.09
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.95 / $314.54 / $467.92
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $137.78 / $137.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.90 / $655.75 / $963.76
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.83 / $139.75 / $236.11
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.24 / $689.51 / $745.18
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.31 / $77.58 / $157.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.61 / $273.01 / $517.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.56 / $63.99 / $122.49