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Wisconsin rates for HCPCS 74475

Rad-Diag Rad Diag Imaging

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.29 / $273.79 / $363.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.94 / $164.94 / $280.50
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.03 / $171.28 / $314.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.03 / $176.47 / $1,024.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.00 / $1,138.00 / $1,138.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.03 / $171.28 / $314.55
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.00 / $1,024.71 / $1,024.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.50 / $1,138.00 / $1,138.00