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Indiana 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
$25.70 / $29.51 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $123.03 / $190.55
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.05 / $21.88 / $47.86
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
$6.61 / $19.05 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $97.72 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $31.62 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $144.54 / $234.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $30.20 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $123.03 / $199.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.38 / $25.70 / $42.66