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Wisconsin rates for HCPCS 75889

Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.67 / $106.94 / $106.94
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$133.37 / $155.85 / $207.14
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$240.42 / $240.42 / $240.42
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$121.75 / $240.42 / $240.42