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Wisconsin rates for HCPCS 77014

Computed tomography guidance for placement of radiation therapy fields

Facilitymedian $138 · 10th–90th $117$2290%20%10th90th$138Professionalmedian $282 · 10th–90th $79$7760%5%10th90th$282$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $89.13 / $147.91
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$117.49 / $138.04 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $426.58 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $162.18 / $181.97
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $269.15 / $309.03
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $275.42 / $331.13
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $112.20 / $125.89
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $173.78 / $208.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $288.40 / $977.24
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $100.00 / $281.84
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $194.98 / $776.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $190.55
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $338.84 / $478.63
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $114.82 / $162.18
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $213.80 / $302.00
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$107.15 / $107.15 / $281.84
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,000.00 / $1,000.00
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$223.87 / $281.84 / $281.84
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$512.86 / $794.33 / $794.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $776.25 / $933.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $288.40 / $354.81
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $489.78 / $588.84