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Wisconsin rates for HCPCS 78104

Bone Marrow Imaging Whole Body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.65 / $55.65 / $76.37
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.42 / $109.57 / $172.85
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$168.51 / $168.51 / $168.51