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Wisconsin rates for HCPCS 75966

Trluml Balo Angioplasty Renal/Oth Visc Art Rs&I

Facilitymedian $501 · 10th–90th $200–$1,0720%10%10th90th$501Professionalmedian $302 · 10th–90th $245–$5,7540%20%10th90th$302$100.0$200.0$500.0$1.0K$2.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $501.19 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $275.42 / $371.54
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $323.59 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $323.59 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $5,754.40 / $5,754.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,905.46 / $1,905.46
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $5,754.40 / $5,754.40