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Wisconsin rates for HCPCS 73700

Computed tomography, lower extremity; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.29 / $104.71 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $147.91 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $87.10 / $338.84
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$43.65 / $199.53 / $660.69
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $151.36 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $245.47 / $758.58
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $70.79 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$194.98 / $380.19 / $1,148.15
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $173.78 / $512.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $102.33 / $169.82
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$123.03 / $144.54 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $346.74 / $537.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $97.72 / $190.55
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $234.42 / $346.74
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $288.40 / $457.09
DeanCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $104.71 / $141.25
DeanCare
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$363.08 / $436.52 / $676.08
DeanCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $186.21 / $323.59
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$446.68 / $446.68 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $363.08 / $1,380.38
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $123.03 / $302.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $257.04 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $245.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $331.13 / $776.25
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$109.65 / $426.58 / $426.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $794.33 / $1,412.54
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $245.47 / $302.00
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $616.60 / $1,318.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,122.02
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$165.96 / $181.97 / $223.87
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.00 / $446.68 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $275.42 / $602.56
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $79.43 / $177.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $194.98 / $436.52