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Massachusetts 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
$18.20 / $38.90 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $128.82 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $22.91 / $69.18
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.95 / $144.54 / $144.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $162.18 / $891.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.42 / $32.36 / $186.21
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $44.67 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $186.21 / $380.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $35.48 / $67.61
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $165.96 / $275.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $218.78 / $416.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $35.48 / $64.57
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.95 / $144.54 / $144.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $165.96 / $891.25
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.42 / $32.36 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $169.82 / $371.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $32.36 / $63.10