go back

Wisconsin rates for HCPCS 78258

Esophageal motility

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.12 / $50.12 / $69.18
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.10 / $102.33 / $162.18
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $208.93 / $208.93