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Wisconsin rates for HCPCS 75957

Evasc Rpr Descnd Thorcic Aorta Celiac Orig Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$550.28 / $550.28 / $550.28
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$684.85 / $800.30 / $1,290.85
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,270.10 / $1,270.10 / $1,270.10