go back

Oklahoma 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
$18.20 / $26.30 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $123.03 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $21.88 / $30.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $28.18 / $28.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $66.07 / $169.82
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.39 / $22.39 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $112.20 / $204.17
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.05 / $23.99 / $40.74
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.70 / $109.65 / $109.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $131.83 / $891.25
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.38 / $25.70 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $120.23 / $173.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $23.44 / $35.48