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Wisconsin rates for HCPCS 77077

Joint Survey Single View 2 Or More Joints

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.65 / $34.25 / $34.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.59 / $49.25 / $96.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.08 / $17.32 / $34.94
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.51 / $34.15 / $92.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.39 / $90.95 / $255.40
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.90 / $36.44 / $102.31
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.83 / $57.97 / $166.02
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.25 / $50.55 / $67.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.86 / $164.73 / $187.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.89 / $57.67 / $65.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.99 / $107.10 / $121.70
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.00 / $80.00 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.09 / $110.28 / $301.08
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.48 / $42.30 / $104.20
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.88 / $70.64 / $196.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.71 / $46.32 / $75.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.43 / $109.64 / $159.06
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.18 / $80.00 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.38 / $220.55 / $301.08
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.53 / $84.70 / $104.20
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.10 / $135.85 / $196.89
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.44 / $293.52 / $293.52
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.59 / $96.94 / $121.28
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.10 / $152.80 / $193.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $101.61 / $193.31
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.73 / $38.79 / $74.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.88 / $63.97 / $119.07