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Wisconsin rates for HCPCS 77406

Radj Dlvr 1 Area 1/Prll Opsd Ports Smpl 20Mev/<

Facilitymedian $468 · 10th–90th $347$6610%20%10th90th$468Professionalmedian $251 · 10th–90th $204$5250%20%10th90th$251$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $407.38 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $245.47 / $309.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $524.81 / $524.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $630.96 / $630.96
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $524.81 / $524.81