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Wisconsin rates for HCPCS 73615

Radex Ankle Arthrography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.50 / $56.75 / $56.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.98 / $137.13 / $259.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.71 / $259.83 / $727.20
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.09 / $84.24 / $111.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.52 / $449.98 / $511.34
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$122.62 / $122.62 / $122.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.28 / $289.50 / $867.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.31 / $103.95 / $249.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.45 / $321.31 / $458.51
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $122.62 / $122.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.39 / $616.40 / $867.22
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.81 / $783.37 / $801.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.06 / $261.95 / $510.87