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Rhode Island 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
$117.49 / $117.49 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $120.23 / $331.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $23.99 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $165.96 / $239.88
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.50 / $28.18 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $208.93 / $309.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.05 / $42.66 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $141.25 / $229.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.39 / $28.18 / $45.71