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Wisconsin rates for HCPCS 75958

Plmt Prox Xtn Prsth Evasc Desc Thorac Aorta Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$364.03 / $364.03 / $364.03
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$451.46 / $527.57 / $850.95
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$843.20 / $843.20 / $843.20