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Wisconsin rates for HCPCS 78230

Salivary Gland Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $247.67 / $337.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.21 / $247.67 / $1,033.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.79 / $249.28 / $891.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.76 / $509.95 / $804.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.28 / $573.41 / $651.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.00 / $179.83 / $331.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.00 / $191.82 / $1,027.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.34 / $341.20 / $1,080.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.96 / $122.26 / $277.95
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.00 / $179.83 / $331.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.84 / $383.36 / $551.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.45 / $1,229.45 / $1,229.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.50 / $853.00 / $1,080.14
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.22 / $431.22 / $431.22
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.57 / $1,021.69 / $1,021.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.96 / $273.08 / $747.65