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North Dakota rates for HCPCS 74400

Urography Iv W/Wo Kub W/Wo Tomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.53 / $24.53 / $39.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.56 / $126.99 / $144.05
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.78 / $22.50 / $24.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.04 / $322.13 / $337.83
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.71 / $55.17 / $57.86
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.63 / $26.63 / $26.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.71 / $204.52 / $312.61
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.73 / $42.50 / $58.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.06 / $223.83 / $893.01
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.46 / $46.80 / $188.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.42 / $221.92 / $325.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.06 / $44.88 / $61.20