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Wisconsin rates for HCPCS 77052

Computer-Aided Detection Screening Mammography

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $24.55 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.45 / $18.62
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $15.14 / $51.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $16.22 / $58.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $128.82 / $128.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $69.18 / $69.18