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Wisconsin rates for HCPCS 76882

Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.48 / $56.23 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $74.13 / $245.47
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $52.48 / $186.21
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$36.31 / $69.18 / $263.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$8.91 / $25.12 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $69.18 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $45.71 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$61.66 / $102.33 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$8.71 / $28.18 / $123.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $50.12 / $109.65
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.11 / $100.00 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $128.82 / $257.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.12 / $67.61 / $131.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.80 / $63.10 / $125.89
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $131.83 / $173.78
DeanCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $64.57 / $87.10
DeanCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $64.57 / $85.11
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$134.90 / $147.91 / $147.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $75.86 / $363.08
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $46.77 / $199.53
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.59 / $34.67 / $213.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $151.36 / $223.87
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$75.86 / $162.18 / $162.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $275.42 / $363.08
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $138.04 / $194.98
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.95 / $154.88 / $213.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $194.98 / $398.11
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $70.79 / $117.49
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $31.62 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $66.07 / $173.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $36.31 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.59 / $36.31 / $100.00