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Wisconsin rates for HCPCS 75887

Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation

Facilitymedian $151 · 10th–90th $98–$3310%10%20%10th90th$151Professionalmedian $170 · 10th–90th $170–$1700%50%100%$170$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
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$97.72 / $97.72 / $138.04
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$169.82 / $194.98 / $316.23
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$151.36 / $407.38 / $407.38
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82