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Wisconsin rates for HCPCS 78226

Hepatobiliary Syst Imaging Including Gallbladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.00 / $52.00 / $72.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.52 / $340.39 / $534.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.35 / $52.36 / $205.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$270.12 / $312.10 / $481.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.52 / $485.04 / $1,643.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.54 / $52.00 / $189.46
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.97 / $408.22 / $1,476.42
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.01 / $103.42 / $163.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.52 / $1,040.38 / $1,182.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.76 / $121.59 / $138.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$366.76 / $918.83 / $1,044.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.64 / $673.04 / $1,991.14
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.25 / $75.18 / $218.97
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$311.33 / $597.86 / $1,772.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $244.53 / $564.07
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.50 / $686.26 / $1,167.99
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$155.94 / $155.94 / $155.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.19 / $1,604.05 / $1,991.14
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.21 / $179.80 / $218.97
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$386.98 / $1,424.25 / $1,772.11
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.13 / $1,853.86 / $1,853.86
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.25 / $95.59 / $205.45
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$664.98 / $782.33 / $1,945.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.62 / $732.54 / $1,405.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.25 / $69.95 / $157.59
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$299.69 / $591.44 / $1,248.35