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Wisconsin rates for HCPCS G0206

Dx mammo incl cad uni

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.72 / $396.99 / $527.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.38 / $149.86 / $179.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.00 / $423.00 / $423.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.46 / $583.46 / $583.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.61 / $121.61 / $423.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.46 / $583.46 / $583.46