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Louisiana 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
$26.92 / $30.20 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $128.82 / $177.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $22.91 / $45.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.05 / $21.88 / $28.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $162.18 / $181.97
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $30.20 / $39.81
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.38 / $22.39 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $120.23 / $229.09
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.14 / $25.70 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $123.03 / $181.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.50 / $24.55 / $38.02