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Wisconsin rates for HCPCS G0288

Reconstruction Computed Tomographic Angiography Of Aorta For Surgical Planning For Vascular Surgery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.07 / $39.47 / $84.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.89 / $77.36 / $223.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.66 / $146.69 / $166.70
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.34 / $162.34 / $162.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.24 / $106.53 / $1,888.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.71 / $32.48 / $69.48
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.34 / $162.34 / $162.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.22 / $110.88 / $158.97
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.66 / $179.37 / $1,888.73
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.74 / $261.39 / $261.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.72 / $82.90 / $412.59