go back

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
$30.38 / $33.21 / $39.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.56 / $128.46 / $145.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.60 / $30.98 / $34.68
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.03 / $21.03 / $21.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.54 / $159.53 / $177.26
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.86 / $35.54 / $39.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.23 / $141.05 / $227.46
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.51 / $33.75 / $45.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.44 / $130.41 / $232.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.52 / $28.37 / $45.93