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Wisconsin rates for HCPCS 77051

Computer Dx Mammogram Add-On

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.73 / $24.22 / $32.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.67 / $14.59 / $24.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $15.16 / $58.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $17.92 / $58.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.36 / $61.36 / $61.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $15.16 / $58.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $128.99 / $128.99
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.46 / $61.36 / $61.36