go back

New Jersey 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
$32.36 / $109.65 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $123.03 / $275.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $22.39 / $50.12
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $21.88 / $21.88
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.85 / $15.85 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $134.90 / $245.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.38 / $29.51 / $48.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $190.55 / $257.04
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.30 / $30.90 / $42.66
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $131.83 / $257.04
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $23.44 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $128.82 / $229.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $25.12 / $43.65