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Wisconsin rates for HCPCS 77321

Spec Telethx Port Pln Parts Hemibdy Tot Bdy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$75.51 / $75.51 / $106.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.59 / $140.54 / $501.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.96 / $75.51 / $253.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.35 / $65.03 / $114.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.67 / $184.20 / $569.50
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.71 / $98.88 / $307.20
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.96 / $85.77 / $262.30
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$132.46 / $154.80 / $237.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.69 / $423.29 / $481.01
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.67 / $224.53 / $255.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.45 / $198.75 / $225.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.62 / $249.81 / $1,141.00
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.96 / $119.68 / $493.68
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.28 / $128.71 / $900.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.81 / $66.47 / $179.73
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.90 / $278.51 / $629.42
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$262.14 / $262.14 / $262.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.32 / $630.87 / $1,141.00
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.99 / $251.40 / $493.68
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.34 / $483.37 / $900.73
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.26 / $581.21 / $581.21
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$161.83 / $170.29 / $284.17
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.57 / $145.08 / $260.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.35 / $219.23 / $448.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.76 / $114.64 / $221.40
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.10 / $99.65 / $264.92