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Wisconsin rates for HCPCS 78290

Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.77 / $54.95 / $66.07
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.18 / $97.72 / $154.88
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $199.53 / $199.53