go back

Wisconsin rates for HCPCS 74415

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

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