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Nebraska rates for HCPCS 74400

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

Facilitymedian $72 · 10th–90th $72$2090%20%40%90th$72Professionalmedian $93 · 10th–90th $20$2240%10%10th90th$93$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
Facility
Modifier
26
Typical Low / Median / Typical High
$51.29 / $72.44 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $125.89 / $263.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $21.88 / $48.98
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $239.88 / $257.04
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $42.66 / $45.71
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $281.84 / $398.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $50.12 / $66.07
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $190.55 / $891.25
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $39.81 / $186.21
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $281.84 / $446.68
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $50.12 / $77.62
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $165.96 / $446.68
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $47.86 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $194.98 / $295.12
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $43.65 / $58.88