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Wisconsin rates for HCPCS 78265

Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.61 / $67.61 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $354.81 / $616.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $562.34 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$120.23 / $138.04 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $776.25 / $1,445.44
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $776.25 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$204.17 / $204.17 / $204.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $741.31 / $2,398.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $812.83 / $1,230.27
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$104.71 / $288.40 / $288.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,905.46 / $2,398.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,348.96 / $2,398.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $588.84 / $1,380.38