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Wisconsin rates for HCPCS 78740

Ureteral reflux study (radiopharmaceutical voiding cystogram)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $302.00 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $199.53 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $302.00 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $676.08 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $724.44 / $851.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $1,778.28 / $2,454.71
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $489.78 / $588.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $251.19 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $426.58 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $309.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $524.81 / $912.01
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,348.96 / $1,348.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $1,071.52 / $1,348.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,318.26 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $338.84 / $891.25