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Wisconsin rates for HCPCS 93455

Cath Plmt & Njx Coronary Art/Grft Angio Img S&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$496.35 / $496.35 / $957.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.87 / $1,287.78 / $1,918.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.01 / $1,966.29 / $6,885.88
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$671.33 / $784.51 / $1,265.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.31 / $2,820.43 / $4,106.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.33 / $2,074.94 / $5,585.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.78 / $843.94 / $2,078.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,054.87 / $2,594.19 / $3,505.57
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2,506.64 / $2,506.64 / $2,506.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.85 / $4,205.16 / $6,682.90
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,324.54 / $6,930.99 / $6,930.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.00 / $2,115.87 / $4,776.72