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Alaska rates for HCPCS 74400

Urography (pyelography), intravenous, with or without KUB, with or without tomography

Facilitymedian $74 · 10th–90th $74–$740%50%100%$74Professionalmedian $85 · 10th–90th $20–$3630%5%10th90th$85$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $134.90 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $23.99 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $208.93 / $398.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $38.02 / $79.43
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $363.08 / $812.83
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $69.18 / $169.82
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $549.54 / $794.33
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $93.33 / $158.49
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $302.00 / $398.11
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $33.11 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $302.00 / $602.56
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $69.18 / $147.91