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Wisconsin rates for HCPCS 78494

Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.62 / $83.62 / $116.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.02 / $320.30 / $1,331.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.65 / $332.42 / $1,169.05
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$145.08 / $164.86 / $260.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.88 / $745.75 / $847.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.15 / $576.23 / $2,091.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.14 / $161.53 / $377.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.55 / $610.57 / $901.75
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$256.77 / $256.77 / $256.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.08 / $1,107.59 / $2,091.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.30 / $1,328.81 / $1,328.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.44 / $533.86 / $970.81