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Wisconsin rates for HCPCS 93923

Non-Invasive Physiologic Study Extremity 3 Levls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.38 / $438.62 / $981.74
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.48 / $22.48 / $76.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.27 / $187.84 / $665.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.39 / $25.74 / $113.94
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$59.33 / $68.69 / $216.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.61 / $161.77 / $368.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.53 / $223.75 / $774.42
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.15 / $37.50 / $129.35
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.20 / $186.73 / $645.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.07 / $116.16 / $170.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.14 / $116.02 / $156.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.14 / $413.84 / $634.84
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.07 / $63.18 / $96.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.06 / $327.95 / $372.68
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.88 / $52.60 / $62.02
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.88 / $275.33 / $312.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.46 / $171.85 / $365.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.42 / $180.54 / $616.02
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$176.87 / $176.87 / $176.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.21 / $285.39 / $1,173.20
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.14 / $45.97 / $310.41
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.32 / $243.41 / $1,048.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $148.90 / $221.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.54 / $171.85 / $365.63
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.77 / $370.33 / $527.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.33 / $616.02 / $616.02
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $176.87 / $176.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.99 / $693.93 / $1,173.20
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.74 / $154.19 / $310.41
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.25 / $605.38 / $1,048.79
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.60 / $662.35 / $662.35
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.10 / $65.00 / $167.33
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.27 / $282.12 / $370.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.71 / $251.82 / $491.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.95 / $57.78 / $97.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.15 / $219.56 / $409.53