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Wisconsin rates for HCPCS 75887

Prq Transhepatc Portograpy W/O Hemodyn Evl Intrp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.74 / $136.46 / $136.46
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$168.51 / $196.92 / $261.72
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$303.95 / $303.95 / $303.95
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$153.65 / $303.95 / $303.95