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Wisconsin rates for HCPCS 75891

Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.50 / $108.09 / $108.09
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$134.27 / $156.90 / $208.54
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
$122.28 / $240.42 / $240.42