go back

Wisconsin rates for HCPCS 78258

Esophageal Motility

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.51 / $50.51 / $69.91
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.41 / $99.33 / $156.69
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$156.38 / $156.38 / $156.38