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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
$19.69 / $19.69 / $100.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.78 / $116.37 / $153.41
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.02 / $22.04 / $32.04
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.04 / $20.04 / $21.65
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.99 / $15.99 / $15.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.85 / $132.28 / $229.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.79 / $28.97 / $48.40
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.27 / $171.73 / $252.25
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.58 / $29.98 / $40.77
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.28 / $126.21 / $179.30
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.41 / $23.40 / $111.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.50 / $130.77 / $237.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $26.26 / $43.47