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Wisconsin rates for HCPCS 77011

Computed tomography guidance for stereotactic localization

Facilitymedian $129 · 10th–90th $117$2570%20%10th90th$129Professionalmedian $219 · 10th–90th $62$7080%5%10th90th$219$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$117.49 / $117.49 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $263.03 / $549.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $67.61 / $154.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $186.21 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $338.84 / $1,202.26
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $91.20 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $245.47 / $891.25
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $186.21 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $588.84 / $912.01
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $158.49 / $245.47
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $467.74 / $660.69
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $501.19 / $616.60
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $141.25 / $169.82
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $363.08 / $436.52
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $645.65 / $3,388.44
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $134.90 / $436.52
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $467.74 / $3,019.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $478.63
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $616.60 / $851.14
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $158.49 / $223.87
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $478.63 / $645.65
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $630.96 / $1,000.00
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$141.25 / $141.25 / $562.34
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $2,511.89 / $3,388.44
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $309.03 / $436.52
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $2,344.23 / $3,090.30
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,380.38 / $1,778.28
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$204.17 / $213.80 / $338.84
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$436.52 / $512.86 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $660.69 / $1,548.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $123.03 / $398.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $389.05 / $831.76