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Wisconsin rates for HCPCS 77003

Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure)

Facilitymedian $59 · 10th–90th $42–$1200%20%10th90th$59Professionalmedian $126 · 10th–90th $85–$3550%10%10th90th$126$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$41.69 / $41.69 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $112.20 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $154.88 / $478.63
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$74.13 / $87.10 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $380.19 / $426.58
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $213.80 / $275.42
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $123.03 / $676.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $87.10
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $128.82 / $309.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $245.47 / $363.08
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$66.07 / $66.07 / $181.97
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $489.78 / $676.08
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $549.54 / $660.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $120.23 / $316.23