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Wisconsin rates for HCPCS 76499

Unlisted diagnostic radiographic procedure

Facilitymedian $324 · 10th–90th $74$1,0720%20%10th90th$324Professionalmedian $178 · 10th–90th $32$6460%10%20%10th90th$178$50.0$100.0$200.0$500.0$1.0K

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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $1,071.52 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $467.74 / $645.65
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $257.04 / $338.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $70.79 / $223.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $489.78 / $1,621.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,621.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $104.71 / $302.00