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Wisconsin rates for HCPCS 76645

Ultrasounds (non-maternity)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.31 / $294.85 / $452.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.10 / $177.63 / $252.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.65 / $126.00 / $295.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.02 / $124.02 / $348.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.69 / $405.69 / $405.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.75 / $124.02 / $295.69
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.84 / $348.00 / $348.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.43 / $405.69 / $405.69