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Wisconsin rates for HCPCS 74425

Antegrade Urography Radiological Supvj & Interpj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.10 / $50.38 / $50.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.64 / $166.25 / $272.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.85 / $366.92 / $869.43
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.18 / $72.66 / $96.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.23 / $477.54 / $542.66
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$109.00 / $109.00 / $109.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.76 / $315.52 / $899.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.25 / $102.71 / $248.09
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.91 / $315.52 / $454.24
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $109.00 / $109.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.13 / $628.04 / $899.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.12 / $850.90 / $1,252.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.72 / $270.06 / $828.70