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Wisconsin rates for HCPCS 76705

Us Abdominal Real Time W/Image Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.25 / $636.02 / $989.82
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.13 / $58.30 / $210.49
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$122.83 / $484.79 / $870.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.23 / $153.52 / $695.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.39 / $69.45 / $267.75
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.32 / $89.98 / $409.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.23 / $132.11 / $485.22
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.18 / $44.28 / $158.60
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.05 / $89.98 / $326.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.91 / $69.30 / $109.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.69 / $65.81 / $107.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.99 / $276.95 / $424.84
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.98 / $85.30 / $130.85
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$164.00 / $191.65 / $294.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.29 / $306.04 / $347.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.94 / $96.93 / $110.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.92 / $209.07 / $237.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.93 / $132.11 / $256.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.50 / $187.89 / $633.11
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.66 / $125.66 / $531.00
Medica
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$267.93 / $522.44 / $711.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.22 / $201.10 / $568.24
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.22 / $74.25 / $227.85
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.94 / $135.36 / $390.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.69 / $94.25 / $191.96
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.93 / $130.80 / $233.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.27 / $247.52 / $390.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.16 / $514.16 / $514.16
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $125.66 / $125.66
Quartz
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$142.03 / $267.93 / $267.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.88 / $441.00 / $568.24
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.83 / $144.15 / $227.85
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.06 / $296.85 / $390.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.46 / $545.30 / $545.30
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.46 / $106.21 / $158.11
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.45 / $176.11 / $451.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.89 / $187.89 / $187.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.95 / $163.47 / $361.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.77 / $87.90 / $175.79
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.80 / $121.71 / $260.19