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Wisconsin rates for HCPCS 78812

Pet Imaging Skull Base To Mid-Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $186.98
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.27 / $100.00 / $249.30
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.07 / $135.74 / $580.89
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$234.29 / $266.24 / $420.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.80 / $312.77 / $355.43
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.92 / $198.52 / $1,192.32
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$834.64 / $834.64 / $834.64
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.72 / $459.10 / $1,192.32
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$152.86 / $179.83 / $515.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.92 / $186.08 / $393.46