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Wisconsin rates for HCPCS 76100

Radex 1 Plne Body Section Oth/Thn W/Urograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.10 / $57.56 / $57.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.34 / $106.74 / $181.62
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.19 / $78.43 / $113.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.83 / $199.97 / $554.50
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.66 / $129.53 / $375.23
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.98 / $85.30 / $113.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.51 / $314.17 / $357.01
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.77 / $217.27 / $246.90
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$124.11 / $124.11 / $124.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.03 / $241.94 / $673.71
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.73 / $168.56 / $514.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.20 / $80.11 / $186.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.60 / $209.09 / $379.90
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $124.11 / $124.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.56 / $469.45 / $673.71
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.44 / $319.10 / $514.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.17 / $559.84 / $559.84
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.24 / $128.49 / $401.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.56 / $214.38 / $411.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.48 / $149.84 / $264.43