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Wisconsin rates for HCPCS 77089

Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation and report on fracture-risk

Facilitymedian $83 · 10th–90th $38$2630%10%10th90th$83Professionalmedian $59 · 10th–90th $35$2450%10%10th90th$59$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $83.18 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $41.69 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $60.26 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $128.82 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $95.50 / $162.18
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $53.70 / $83.18
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $87.10 / $114.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $60.26 / $117.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $75.86 / $257.04
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $67.61 / $120.23
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $93.33 / $134.90
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $257.04 / $257.04
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $165.96 / $257.04
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $263.03 / $302.00
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $251.19 / $331.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $69.18 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $97.72 / $302.00