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Wisconsin rates for HCPCS 78195

Lymphatics & Lymph Nodes Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.48 / $83.48 / $115.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.47 / $391.24 / $1,864.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.62 / $523.40 / $1,792.50
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$145.08 / $164.86 / $260.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.75 / $1,135.48 / $1,290.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.31 / $676.76 / $2,164.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.14 / $244.53 / $564.07
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.48 / $750.15 / $1,079.96
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$252.03 / $252.03 / $252.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.24 / $1,737.85 / $2,164.91
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.03 / $2,023.25 / $2,023.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.31 / $661.25 / $1,523.23