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Wisconsin rates for HCPCS 75807

Lymphangiography Pelvic/Abdominal Bilateral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.23 / $89.97 / $108.43
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$135.16 / $157.94 / $209.93
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$246.45 / $246.45 / $246.45
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$123.45 / $246.45 / $246.45