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Wisconsin rates for HCPCS 74420

Urography Retrograde With/Wo Kub

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.61 / $51.57 / $51.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.28 / $115.63 / $244.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.39 / $36.61 / $127.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.59 / $195.81 / $581.78
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.63 / $48.31 / $140.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.36 / $64.09 / $106.01
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.98 / $74.77 / $99.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.46 / $274.76 / $312.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.74 / $85.60 / $97.28
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$110.49 / $110.49 / $435.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.82 / $243.88 / $676.85
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.97 / $59.08 / $153.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $79.45 / $186.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.10 / $227.87 / $367.38
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $110.49 / $110.49
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.30 / $371.04 / $676.85
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.06 / $125.80 / $153.55
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.24 / $489.58 / $489.58
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.00 / $60.69 / $115.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.70 / $193.10 / $550.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.96 / $51.58 / $95.83