go back

Wisconsin rates for HCPCS 78813

Pet Imaging Whole Body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $190.67
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.41 / $100.00 / $521.04
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.26 / $140.49 / $585.44
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$239.70 / $272.38 / $429.69
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.35 / $320.18 / $363.84
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.60 / $205.46 / $1,463.88
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$853.92 / $853.92 / $853.92
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.85 / $463.70 / $1,463.88
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$186.99 / $202.42 / $534.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.60 / $193.50 / $406.43