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Wisconsin rates for HCPCS 74710

Pelvimetry, with or without placental localization

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $125.89 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $147.91 / $169.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $363.08 / $363.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $331.13 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $43.65 / $138.04