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Georgia 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
$29.51 / $53.70 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $123.03 / $204.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $21.88 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.05 / $21.88 / $28.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $138.04 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $31.62 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $162.18 / $309.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.38 / $34.67 / $58.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $173.78 / $398.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $30.90 / $81.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $120.23 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $138.04 / $257.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.39 / $27.54 / $51.29