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Wisconsin rates for HCPCS 76102

Radex Cplx Motion Bdy Sctj Oth/Thn Urograpy Bi

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.49 / $559.16 / $743.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.85 / $650.17 / $738.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.02 / $766.02 / $766.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.03 / $1,170.03 / $1,170.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.36 / $766.02 / $766.02
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.61 / $1,170.03 / $1,170.03