go back

Wisconsin rates for HCPCS 75896

Rad-Diag Rad Diag Imaging

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,309.57 / $2,698.92 / $4,353.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.72 / $1,625.90 / $2,765.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.52 / $360.00 / $1,403.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.52 / $1,042.96 / $1,403.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.00 / $7,524.00 / $7,524.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.52 / $360.00 / $1,403.61
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,190.88 / $3,190.88 / $3,190.88
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,280.07 / $7,524.00 / $7,524.00