go back

Wisconsin rates for HCPCS 78231

Salivary gland imaging; with serial images

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $199.53 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $107.15 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $154.88 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $331.13 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $371.54 / $416.87
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $1,380.38 / $1,905.46
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $239.88 / $288.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $154.88 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $257.04 / $831.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $169.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $302.00 / $467.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,230.27 / $1,230.27
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $512.86 / $870.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $645.65 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $234.42 / $457.09