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Wisconsin rates for HCPCS 77417

Therapeutic Radiology Port Images(S)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $20.12 / $66.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.82 / $24.41 / $75.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.63 / $19.63 / $19.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.36 / $66.11 / $75.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $33.49 / $329.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.79 / $65.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.58 / $47.72 / $118.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.49 / $71.48 / $329.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.81 / $90.78 / $90.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $28.97 / $52.89