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Wisconsin rates for HCPCS 78804

Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.18 / $70.18 / $97.45
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$122.55 / $139.26 / $219.69
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$224.82 / $224.82 / $224.82