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Minnesota rates for HCPCS 74400

Urography Iv W/Wo Kub W/Wo Tomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.60 / $23.60 / $23.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.56 / $118.09 / $203.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.69 / $22.66 / $37.36
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.00 / $19.00 / $19.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.18 / $391.73 / $475.11
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.60 / $66.73 / $80.94
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.28 / $80.03 / $192.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.48 / $259.74 / $429.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.11 / $43.18 / $72.88
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.43 / $70.56 / $151.59
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.52 / $242.08 / $412.87
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.00 / $40.25 / $68.64
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$110.00 / $110.00 / $110.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.42 / $208.36 / $893.01
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.90 / $44.42 / $188.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.37 / $201.87 / $396.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.89 / $42.70 / $75.92