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Wisconsin rates for HCPCS 75605

Aortography Thoracic Serialography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.66 / $108.16 / $108.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.84 / $178.79 / $387.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.35 / $273.25 / $741.91
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$135.16 / $157.94 / $209.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.80 / $420.42 / $602.71
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$245.13 / $245.13 / $245.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.63 / $401.24 / $3,099.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.42 / $92.31 / $213.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.65 / $351.54 / $596.51
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$123.38 / $245.13 / $245.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.92 / $1,688.39 / $3,099.85
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.05 / $749.17 / $749.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.54 / $313.12 / $931.43