go back

Arizona 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
$32.07 / $77.59 / $96.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.78 / $113.49 / $136.72
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.38 / $21.07 / $23.72
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.32 / $17.32 / $17.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.06 / $116.64 / $145.80
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.81 / $18.07 / $22.59
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.63 / $26.63 / $26.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.28 / $138.50 / $236.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.80 / $28.47 / $49.73
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$110.00 / $110.00 / $110.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.94 / $129.91 / $893.01
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.94 / $25.08 / $188.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.86 / $129.91 / $211.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.32 / $24.90 / $44.64