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Wisconsin rates for HCPCS A9700

Supply of injectable contrast material for use in echocardiography, per study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $331.13 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $134.90 / $151.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $169.82
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $323.59 / $338.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $169.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $128.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $186.21
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $125.89 / $151.36