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Iowa 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
$19.95 / $19.95 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $123.03 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $21.88 / $69.18
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.44 / $74.13 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $316.23 / $398.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $53.70 / $66.07
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $173.78 / $316.23
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.38 / $36.31 / $60.26
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.13 / $109.65 / $109.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $199.53 / $891.25
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $34.67 / $186.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $263.03 / $338.84
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $52.48 / $63.10
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.62 / $77.62 / $77.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $229.09 / $338.84
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $53.70 / $72.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $120.23 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $144.54 / $275.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $29.51 / $54.95
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $269.15
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $38.90 / $45.71