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Wisconsin rates for HCPCS 75810

Splenoportography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $4,365.16 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,511.89 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $724.44 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,905.46 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $1,230.27 / $2,344.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $2,511.89 / $12,882.50
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $1,000.00 / $1,348.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,737.80 / $8,128.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $2,630.27 / $6,918.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $58.88 / $537.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,000.00 / $1,513.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $8,912.51 / $8,912.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $2,137.96 / $6,918.31
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $3,715.35 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $2,344.23 / $5,370.32