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Kansas 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 / $46.77 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $128.82 / $190.55
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $21.88 / $37.15
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $19.95 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $138.04 / $263.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $30.90 / $51.29
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.70 / $53.70 / $109.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $144.54 / $891.25
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $30.20 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $125.89 / $208.93
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $25.12 / $40.74