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Wisconsin rates for HCPCS 74260

X-Ray Exam Of Small Bowel

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.22 / $1,051.98 / $1,398.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.27 / $513.94 / $633.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.77 / $490.77 / $490.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.82 / $1,195.82 / $1,195.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.04 / $490.77 / $490.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.16 / $1,195.82 / $1,195.82