go back

Wisconsin rates for HCPCS 77074

Radiologic examination, osseous survey; limited (eg, for metastases)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.90 / $36.31 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $69.18 / $120.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.98 / $22.39 / $52.48
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.11 / $45.71 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $97.72 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.42 / $31.62 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.66 / $66.07 / $223.87
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.95 / $64.57 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $138.04 / $269.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $44.67 / $85.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $95.50 / $181.97
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $144.54 / $194.98
DeanCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $45.71 / $61.66
DeanCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $97.72 / $134.90
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.50 / $95.50 / $95.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $114.82 / $416.87
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $41.69 / $131.83
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.69 / $75.86 / $288.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $151.36 / $229.09
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.98 / $131.83 / $131.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $302.00 / $416.87
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $109.65 / $131.83
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $194.98 / $288.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $407.38 / $562.34
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $151.36 / $208.93
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.72 / $302.00 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $95.50 / $223.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.39 / $33.88 / $74.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.69 / $61.66 / $144.54