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Wisconsin rates for HCPCS 78290

Intestine Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.85 / $47.85 / $66.23
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.90 / $94.21 / $148.61
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$143.13 / $143.13 / $143.13