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Wisconsin rates for RC 0611

MRI - Brain (Including Brainstem)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $2,630.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,570.88 / $5,888.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,089.30 / $2,344.23