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Wisconsin rates for HCPCS 77003

Fluor Needle/Cath Spine/Paraspinal Dx/Ther Addon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.65 / $42.65 / $59.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.69 / $111.50 / $524.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.37 / $158.58 / $544.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.23 / $69.98 / $106.72
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.79 / $87.40 / $134.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.91 / $330.60 / $420.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.78 / $149.66 / $681.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.69 / $86.29 / $190.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.88 / $242.95 / $349.76
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$127.16 / $127.16 / $127.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.32 / $489.05 / $681.03
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.13 / $531.23 / $658.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.45 / $141.81 / $364.35