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Mississippi 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
$20.89 / $20.89 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $134.90 / $223.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.05 / $22.91 / $48.98
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.05 / $21.88 / $23.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $141.25 / $208.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $34.67 / $47.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $81.28
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
$19.95 / $25.70 / $50.12