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Arkansas 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
$30.20 / $36.31 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $120.23 / $173.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.14 / $21.88 / $45.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $21.88 / $39.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $138.04 / $177.83
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $30.90 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $138.04 / $239.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.39 / $33.88 / $50.12
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $45.71 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $128.82 / $218.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $26.92 / $45.71