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Wisconsin rates for HCPCS 74415

Urography, infusion, drip technique and/or bolus technique; with nephrotomography

Facilitymedian $60 · 10th–90th $35$1170%10%20%10th90th$60Professionalmedian $60 · 10th–90th $60$600%50%100%$60$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$34.67 / $34.67 / $47.86
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$60.26 / $70.79 / $112.20
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$117.49 / $117.49 / $117.49
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $144.54 / $144.54
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26