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Wisconsin rates for HCPCS 73615

Radiologic examination, ankle, arthrography, radiological supervision and interpretation

Facilitymedian $72 · 10th–90th $40–$1410%10%20%10th90th$72Professionalmedian $148 · 10th–90th $105–$4370%10%10th90th$148$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$39.81 / $39.81 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $134.90 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $194.98 / $630.96
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$72.44 / $85.11 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $338.84 / $524.81
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $269.15 / $371.54
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $223.87 / $870.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $109.65
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $229.09 / $416.87
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $323.59 / $467.74
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $173.78 / $173.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $616.60 / $870.96
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $616.60 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $181.97 / $446.68