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Alabama rates for HCPCS 74400

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.38 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $128.82 / $223.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $22.91 / $48.98
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $19.95 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $151.36 / $190.55
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $47.86 / $56.23
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.92 / $26.92 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $128.82 / $275.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $30.90 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $117.49 / $154.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $23.44 / $35.48