go back

Texas 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
$14.73 / $19.10 / $30.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.58 / $114.97 / $165.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.38 / $20.56 / $31.34
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.32 / $18.39 / $23.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.03 / $94.51 / $150.06
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.00 / $97.00 / $195.54
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.43 / $21.43 / $23.29
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
$90.94 / $124.94 / $245.69
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.11 / $26.82 / $48.64
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.72 / $111.77 / $111.77
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.01 / $893.01 / $1,115.78
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$188.00 / $188.00 / $188.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.53 / $211.89 / $439.94
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.60 / $36.29 / $88.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.23 / $136.41 / $241.27
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.63 / $26.63 / $26.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.46 / $142.82 / $328.00
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.12 / $25.82 / $46.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.44 / $123.42 / $203.17
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.98 / $23.83 / $40.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.60 / $122.21 / $174.43
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.78 / $21.65 / $29.88