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Wisconsin rates for HCPCS 73615

Radiologic examination, ankle, arthrography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.81 / $39.81 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $123.03 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $181.97 / $616.60
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.44 / $85.11 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $263.03 / $524.81
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $269.15 / $371.54
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$123.03 / $123.03 / $123.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $223.87 / $870.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $109.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $323.59 / $457.09
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $173.78 / $173.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $616.60 / $870.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $602.56 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $181.97 / $426.58