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Wisconsin rates for HCPCS 74210

Radiologic Exam Phrnx&/Crv Esoph Contrast Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.13 / $58.30 / $58.30
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.98 / $85.30 / $113.36
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.66 / $125.66 / $125.66
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $125.66 / $125.66