go back

Wisconsin rates for HCPCS 74415

Urography Nfs Drip &/Bolus W/Nephrotomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.04 / $48.22 / $48.22
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.38 / $70.55 / $93.77
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.00 / $117.00 / $117.00
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $117.00 / $117.00