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Pennsylvania 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
$22.32 / $29.81 / $71.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.04 / $120.37 / $154.06
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.39 / $21.07 / $38.58
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.32 / $20.04 / $21.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.41 / $150.97 / $214.07
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.84 / $38.02 / $56.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.63 / $26.63 / $26.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.17 / $136.09 / $237.85
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.69 / $28.97 / $45.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.10 / $171.73 / $207.00
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.95 / $29.98 / $47.39
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.95 / $25.34 / $25.34
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.32 / $42.24 / $72.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.56 / $130.47 / $235.59
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.39 / $22.50 / $46.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.28 / $126.21 / $241.75
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.99 / $26.63 / $26.63
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.17 / $136.09 / $233.09
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.75 / $28.94 / $46.99
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.21 / $23.21 / $26.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.50 / $130.69 / $142.41
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.53 / $23.30 / $26.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.70 / $132.22 / $219.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.01 / $27.39 / $46.12