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Wisconsin rates for HCPCS 74210

Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.69 / $41.69 / $58.88
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.44 / $85.11 / $134.90
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.89 / $125.89 / $125.89
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $177.83 / $177.83