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Maine rates for HCPCS 74400

Urography (pyelography), intravenous, with or without KUB, with or without tomography

Professionalmedian $72 · 10th–90th $20–$2140%5%10th90th$72$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $138.04 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $22.91 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $181.97 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $32.36 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $177.83 / $346.74
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $33.88 / $64.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $208.93 / $380.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $34.67 / $64.57
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $141.25 / $263.03
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $22.91 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $165.96 / $331.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $34.67 / $89.13