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Wisconsin rates for HCPCS 74290

Cholecystography, oral contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $173.78 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $81.28 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $131.83 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $269.15 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $181.97 / $346.74
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $117.49 / $512.86
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $181.97 / $234.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $93.33 / $380.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $138.04 / $575.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $204.17 / $302.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $575.44 / $575.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $398.11 / $575.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $398.11 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $107.15 / $257.04