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Wisconsin rates for HCPCS 76965

Us Guidance Interstitial Radioelment Application

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.98 / $143.06 / $143.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.08 / $114.67 / $201.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.95 / $76.81 / $230.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.01 / $198.12 / $579.13
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.15 / $147.55 / $427.92
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$179.32 / $209.55 / $338.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.15 / $334.24 / $379.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.56 / $237.70 / $270.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.15 / $238.31 / $602.86
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.59 / $153.76 / $496.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.81 / $64.19 / $139.02
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.90 / $270.50 / $412.87
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$305.79 / $305.79 / $305.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.77 / $877.10 / $1,748.00
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.11 / $337.20 / $496.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.74 / $595.58 / $595.58
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$194.26 / $236.69 / $364.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.86 / $208.69 / $503.75
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.65 / $153.76 / $324.29