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Lung Artery Dye X-Ray, One Side

Wisconsin rates for HCPCS 75741

X-ray imaging of the arteries supplying one lung, taken after a thin tube is guided into the artery and contrast dye is injected directly into it. Only the vessels on that one side are studied. It is used to look for a blood clot, a narrowing, or an abnormal connection between vessels in the lung.

Rates data updated July 2026.

Facilitymedian $178 · 10th–90th $89$3720%10%10th90th$178Professionalmedian $155 · 10th–90th $155$1550%50%100%$155$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$89.13
Median
$89.13
Typical High
$123.03
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$154.88
Median
$181.97
Typical High
$288.40
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Quartz
Setting
Facility
Modifier
26 · Professional part
Typical Low
$138.04
Median
$371.54
Typical High
$371.54
Security Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$154.88
Median
$154.88
Typical High
$154.88