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Wisconsin rates for HCPCS 74740

Hysterosalpingography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.28 / $37.89 / $37.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.17 / $116.40 / $841.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.53 / $189.53 / $533.39
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.76 / $55.81 / $74.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.54 / $329.12 / $374.00
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.87 / $210.49 / $635.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.69 / $66.86 / $148.66
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.15 / $263.89 / $320.82
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.62 / $435.05 / $635.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.06 / $559.01 / $586.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.67 / $189.92 / $381.79