go back

Wisconsin rates for RC 0402

Other Imaging Services - Ultrasound

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $575.44 / $794.33
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $549.54 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56