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Wisconsin rates for HCPCS 74740

Hysterosalpingography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.92 / $38.02 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $109.65 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $144.54 / $446.68
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.86 / $56.23 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $194.98 / $380.19
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $199.53 / $263.03
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
$83.18 / $162.18 / $630.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $87.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $229.09 / $323.59
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $114.82 / $114.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $436.52 / $630.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $436.52 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $125.89 / $281.84