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Wisconsin rates for HCPCS 77290

Therapeutic radiology simulation-aided field setting; complex

Facilitymedian $195 · 10th–90th $123$3550%10%20%10th90th$195Professionalmedian $427 · 10th–90th $81$2,1380%5%10th90th$427$20.0$100.0$500.0$2.0K

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
26
Typical Low / Median / Typical High
$123.03 / $173.78 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $645.65 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $134.90 / $741.31
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $489.78 / $912.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $691.83 / $2,454.71
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $123.03 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $575.44 / $1,995.26
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $426.58 / $537.03
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$218.78 / $257.04 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $1,202.26 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $218.78 / $426.58
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $933.25 / $1,905.46
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,023.29 / $1,318.26
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $194.98 / $234.42
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$707.95 / $831.76 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $1,000.00 / $4,466.84
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $186.21 / $1,348.96
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$426.58 / $851.14 / $3,162.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $707.95
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,258.93 / $2,041.74
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $204.17 / $371.54
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$562.34 / $1,096.48 / $1,659.59
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,047.13 / $1,995.26
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$194.98 / $1,348.96 / $1,348.96
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $2,398.83 / $4,466.84
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $407.38 / $1,348.96
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $1,995.26 / $3,162.28
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,513.56
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,754.23 / $3,715.35
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$269.15 / $275.42 / $467.74
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$501.19 / $1,445.44 / $2,398.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $1,258.93 / $3,467.37
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $234.42 / $616.60
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $954.99 / $2,818.38