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Virginia rates for HCPCS 74400

Urography (pyelography), intravenous, with or without KUB, with or without tomography

Facilitymedian $39 · 10th–90th $20$1480%20%10th90th$39Professionalmedian $74 · 10th–90th $20$1910%5%10%10th90th$74$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.95 / $38.90 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $123.03 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $22.39 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $169.82 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $29.51 / $45.71
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $151.36 / $275.42
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $23.99 / $33.88
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $134.90 / $263.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $28.18 / $50.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $154.88 / $204.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $25.70 / $33.11
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $144.54 / $295.12
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $42.66 / $50.12
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $223.87
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $128.82 / $309.03
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $31.62 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $128.82 / $245.47
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $28.18 / $50.12