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Wisconsin rates for HCPCS 76506

Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.23 / $52.01 / $62.84
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.20 / $93.72 / $143.77
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$136.22 / $136.22 / $136.22
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $136.22 / $136.22