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Wisconsin rates for HCPCS 78831

Rp Loclzj Tum Spect 2 Area/Sep Acquisj Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$126.36 / $126.36 / $175.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.77 / $985.77 / $4,219.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.98 / $1,031.07 / $4,117.53
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$220.77 / $250.88 / $395.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.46 / $2,284.23 / $2,595.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.82 / $1,420.58 / $4,322.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.06 / $400.89 / $1,163.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.67 / $1,494.78 / $2,084.50
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$376.93 / $376.93 / $376.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.06 / $3,482.35 / $4,322.46
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,656.70 / $4,070.24 / $4,070.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.20 / $1,420.58 / $3,052.28