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Wisconsin rates for HCPCS 75984

Change Prq Tube/Drainage Cath W Contrast Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.23 / $78.31 / $78.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.72 / $103.79 / $148.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.04 / $147.54 / $603.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.22 / $114.78 / $176.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.23 / $227.66 / $379.89
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$169.56 / $169.56 / $169.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.42 / $199.82 / $767.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.28 / $105.19 / $200.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.80 / $254.47 / $444.31
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.40 / $169.56 / $169.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.80 / $477.60 / $767.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.36 / $421.92 / $478.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.69 / $155.08 / $357.47