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Wisconsin rates for HCPCS 74450

Urethrocystography Retrograde Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.65 / $32.63 / $32.63
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.54 / $47.39 / $62.98
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