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Wisconsin rates for HCPCS 78315

Bone &/Joint Imaging 3 Phase Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.70 / $71.70 / $99.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.75 / $362.09 / $2,051.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.47 / $71.70 / $285.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.84 / $305.89 / $495.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.99 / $508.83 / $1,750.61
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.26 / $73.20 / $258.64
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$264.73 / $435.63 / $1,493.97
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.26 / $142.34 / $224.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.60 / $1,110.67 / $1,262.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.59 / $166.86 / $189.61
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$377.00 / $943.86 / $1,072.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.68 / $666.37 / $2,116.12
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.34 / $111.27 / $350.03
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$304.38 / $578.60 / $1,817.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.14 / $244.53 / $564.07
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.50 / $733.58 / $1,341.70
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$216.00 / $216.00 / $216.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.79 / $1,695.10 / $2,116.12
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.27 / $248.60 / $350.03
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$397.52 / $1,446.50 / $1,817.68
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.70 / $1,979.12 / $1,979.12
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.69 / $151.72 / $270.70
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$418.76 / $786.87 / $1,710.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.65 / $624.98 / $1,485.76
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.30 / $99.44 / $217.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$300.01 / $538.46 / $1,267.85