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Wisconsin rates for HCPCS 78802

Rp Loclzj Tum Plnr Whole Body Single Day Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.65 / $55.65 / $77.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.87 / $312.99 / $706.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.77 / $473.57 / $1,570.62
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.42 / $109.57 / $172.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.06 / $987.54 / $1,122.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.95 / $649.67 / $1,900.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $216.68 / $501.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.25 / $803.39 / $1,194.10
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$180.12 / $180.12 / $180.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.93 / $1,527.55 / $1,900.36
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.42 / $1,759.66 / $1,759.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.95 / $604.74 / $1,338.90