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Wisconsin rates for HCPCS 73630

Radiologic examination, foot; complete, minimum of 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $363.08 / $660.69
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.02 / $16.98 / $562.34
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$53.70 / $354.81 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $46.77 / $158.49
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.41 / $16.98 / $63.10
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$18.20 / $85.11 / $263.03
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$26.30 / $29.51 / $95.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $45.71 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $50.12 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.76 / $12.30 / $43.65
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$45.71 / $77.62 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.39 / $36.31 / $125.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $39.81 / $54.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $30.90 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $109.65 / $173.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.89 / $23.99 / $38.90
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$72.44 / $85.11 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $75.86 / $138.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $16.98 / $33.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.99 / $56.23 / $107.15
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $51.29 / $288.40
DeanCare
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$223.87 / $269.15 / $354.81
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $74.13 / $102.33
DeanCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.79 / $17.78 / $23.99
DeanCare
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$93.33 / $112.20 / $151.36
DeanCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $56.23 / $77.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $181.97 / $426.58
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.66 / $100.00 / $162.18
Medica
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$125.89 / $323.59 / $446.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $83.18 / $234.42
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $33.88 / $81.28
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $51.29 / $169.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $87.10 / $125.89
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $363.08 / $363.08
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$100.00 / $169.82 / $169.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $223.87 / $223.87
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $41.69 / $70.79
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.30 / $114.82 / $169.82
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $154.88 / $213.80
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $22.91 / $38.02
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $48.98 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $46.77 / $112.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $12.59 / $28.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $33.88 / $81.28