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Wisconsin rates for HCPCS 76496

Unlisted Fluoroscopic Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.37 / $101.37 / $200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.63 / $71.20 / $101.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.80 / $147.88 / $427.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.99 / $458.07 / $608.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.76 / $241.30 / $275.95
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.84 / $118.53 / $241.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.22 / $118.53 / $398.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.54 / $620.54 / $620.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $70.00 / $2,750.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.84 / $118.53 / $226.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.84 / $231.39 / $330.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.68 / $505.65 / $505.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.19 / $433.62 / $620.54