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Maine rates for HCPCS 74400

Urography Iv W/Wo Kub W/Wo Tomography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.40 / $101.56 / $145.35
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.60 / $21.07 / $27.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.66 / $178.28 / $257.51
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.24 / $31.06 / $43.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.70 / $182.00 / $309.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.47 / $37.01 / $53.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.63 / $196.92 / $355.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.03 / $33.72 / $60.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.87 / $114.02 / $191.88
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.02 / $23.94 / $32.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.55 / $155.74 / $302.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.90 / $35.02 / $61.43