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Wisconsin rates for HCPCS 78801

Rp Loclzj Tum Plnr 2+Area 1+D Img/1 Area Img>2+D

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.98 / $50.98 / $70.56
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$88.31 / $100.35 / $158.31
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$190.00 / $190.00 / $190.00