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Wisconsin rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Facilitymedian $1,288 · 10th–90th $229–$3,5480%5%10th90th$1,288Professionalmedian $1,175 · 10th–90th $282–$2,1880%5%10%10th90th$1,175$50.0$200.0$1.0K$5.0K

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
Typical Low / Median / Typical High
$199.53 / $2,187.76 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $1,412.54 / $2,187.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $416.87 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $912.01 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $707.95 / $1,148.15
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $1,412.54 / $3,801.89
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $575.44 / $676.08
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $870.96 / $3,548.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $1,905.46 / $4,073.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $58.88 / $269.15
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $933.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $616.60 / $1,202.26
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,548.13 / $3,548.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $1,258.93 / $2,454.71
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,819.70 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $1,819.70 / $4,168.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $1,905.46 / $5,248.07