go back

Wisconsin rates for HCPCS 78201

Liver Imaging Static Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.43 / $30.43 / $42.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.08 / $266.61 / $1,130.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.01 / $279.61 / $964.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.27 / $59.39 / $93.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.97 / $619.08 / $703.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.62 / $372.46 / $1,169.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.08 / $152.83 / $347.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.25 / $458.52 / $748.58
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.74 / $931.15 / $1,169.18
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.45 / $1,103.08 / $1,103.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.80 / $334.02 / $816.15