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Wisconsin rates for HCPCS 78265

Gastric Emptyng Imag Std W/Sm Bwl Transit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.59 / $95.27 / $95.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.19 / $384.97 / $547.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.73 / $852.61 / $2,377.05
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.95 / $139.00 / $184.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.46 / $1,260.13 / $1,431.96
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$204.38 / $204.38 / $204.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.44 / $961.24 / $2,395.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.63 / $282.36 / $688.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.70 / $835.76 / $1,523.72
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$108.15 / $204.38 / $204.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.29 / $1,924.80 / $2,395.01
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.81 / $2,245.38 / $2,245.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.95 / $881.56 / $1,687.09