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Wisconsin rates for HCPCS 93304

F-Up/Limited Tthrc Echo Congenital Car Anomaly

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.06 / $69.06 / $131.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.63 / $273.45 / $833.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.52 / $299.35 / $1,016.56
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.72 / $109.52 / $168.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.89 / $448.14 / $509.25
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$159.69 / $159.69 / $159.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.12 / $310.10 / $1,016.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.31 / $146.39 / $316.99
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.33 / $393.83 / $582.55
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $159.69 / $159.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.83 / $775.25 / $1,016.32
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.67 / $1,061.80 / $1,061.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.12 / $275.99 / $710.72