go back

Wisconsin rates for HCPCS 96570

Pdt Ndsc Abl Abnor Tiss Via Activj Rx 30 Min

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.91 / $193.00 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.13 / $55.91 / $165.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $1,183.00 / $1,530.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.48 / $115.96 / $224.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.76 / $151.63 / $244.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.34 / $125.40 / $216.18
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.91 / $65.41 / $178.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.91 / $181.82 / $1,789.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.26 / $123.17 / $304.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.51 / $58.40 / $166.02
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.91 / $65.41 / $178.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.65 / $144.77 / $182.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.30 / $504.30 / $504.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.24 / $267.75 / $812.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.69 / $61.69 / $61.69
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.70 / $173.68 / $173.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.99 / $122.89 / $206.75