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North Dakota 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
$22.91 / $23.99 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $125.89 / $204.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $22.91 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $309.03 / $338.84
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $52.48 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $204.17 / $316.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.38 / $33.88 / $58.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $208.93 / $891.25
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $44.67 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $190.55 / $316.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $39.81 / $61.66