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Wisconsin rates for HCPCS 78216

Liver and spleen imaging; with vascular flow

Facilitymedian $56 · 10th–90th $39$1260%20%10th90th$56Professionalmedian $69 · 10th–90th $69$690%50%100%$69$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.90 / $38.90 / $56.23
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$67.61 / $79.43 / $125.89
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $165.96 / $165.96
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18