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Wisconsin rates for HCPCS 76536

Us Soft Tissue Head & Neck Real Time Imge Docm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.00 / $634.90 / $958.16
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.13 / $46.63 / $56.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.34 / $193.54 / $776.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.98 / $63.90 / $248.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$47.34 / $63.23 / $151.94
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.30 / $126.41 / $469.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.72 / $166.96 / $616.82
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.16 / $42.48 / $152.63
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.55 / $126.41 / $464.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.83 / $97.23 / $137.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $91.49 / $134.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.88 / $352.77 / $541.15
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.29 / $82.14 / $126.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.15 / $387.93 / $440.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.64 / $93.26 / $105.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.60 / $294.67 / $334.85
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.46 / $144.74 / $295.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.92 / $215.64 / $587.00
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$122.00 / $122.00 / $314.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.04 / $236.16 / $726.73
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.29 / $67.34 / $255.92
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.14 / $171.88 / $554.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.69 / $109.12 / $253.98
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.92 / $141.82 / $295.06
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.70 / $271.72 / $492.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.48 / $514.16 / $514.16
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $122.00 / $122.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.38 / $560.60 / $726.73
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.28 / $138.75 / $255.92
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.11 / $421.85 / $554.94
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.76 / $691.24 / $691.24
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.30 / $102.87 / $152.24
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.38 / $251.38 / $538.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.18 / $119.18 / $187.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.91 / $224.22 / $491.37
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.87 / $56.04 / $121.62
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.14 / $159.51 / $369.75