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Wisconsin rates for HCPCS 74450

Urethrocystography, retrograde, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.91 / $22.91 / $32.36
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.74 / $47.86 / $75.86
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00