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Virginia 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
$20.96 / $37.02 / $80.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.93 / $116.37 / $149.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.02 / $21.07 / $28.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.56 / $151.02 / $221.02
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.93 / $26.52 / $39.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.75 / $143.65 / $280.12
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.58 / $25.58 / $32.49
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
$94.85 / $136.83 / $275.24
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.64 / $30.60 / $52.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.27 / $153.91 / $188.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.45 / $25.26 / $31.28
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.68 / $41.00 / $72.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $125.00 / $204.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.02 / $137.29 / $272.80
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.71 / $32.75 / $51.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.84 / $132.30 / $233.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.18 / $29.04 / $47.34