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Wisconsin rates for HCPCS 76770

Us Retroperitoneal Real Time W/Image Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.30 / $633.38 / $987.55
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.50 / $72.92 / $298.68
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$110.94 / $482.60 / $865.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.87 / $190.18 / $1,003.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.54 / $77.73 / $263.89
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$46.75 / $62.08 / $112.28
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.48 / $110.94 / $448.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.45 / $163.44 / $603.55
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.86 / $55.38 / $199.68
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.56 / $110.94 / $403.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.22 / $85.92 / $136.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.17 / $81.29 / $133.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.57 / $345.39 / $529.84
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.91 / $107.41 / $164.77
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$203.65 / $237.98 / $365.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.49 / $381.08 / $433.05
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.01 / $122.77 / $139.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.70 / $258.31 / $293.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.44 / $163.44 / $314.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.14 / $203.87 / $678.68
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$157.44 / $157.44 / $531.00
Medica
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$331.53 / $583.54 / $842.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.14 / $250.10 / $704.47
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.60 / $87.48 / $290.60
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.77 / $167.37 / $483.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.36 / $98.65 / $191.96
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.44 / $163.44 / $287.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.58 / $307.50 / $484.50
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.88 / $514.16 / $514.16
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $157.44 / $157.44
Quartz
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$175.48 / $331.53 / $331.53
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.50 / $548.54 / $704.47
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.70 / $181.50 / $290.60
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.80 / $367.05 / $483.33
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.45 / $679.04 / $679.04
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.70 / $133.52 / $199.81
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.93 / $217.26 / $547.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.89 / $187.89 / $187.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.97 / $213.93 / $480.80
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.46 / $73.69 / $159.08
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.73 / $146.69 / $321.72