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Wisconsin rates for HCPCS 77422

High Energy Neutron Radiation

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.61 / $100.04 / $153.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.21 / $60.27 / $102.49
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.95 / $74.95 / $120.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.95 / $74.95 / $120.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.94 / $1,261.94 / $1,261.94
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.95 / $74.95 / $120.67
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.09 / $627.09 / $627.09
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.93 / $1,261.94 / $1,261.94