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Vermont rates for HCPCS 74400

Urography Iv W/Wo Kub W/Wo Tomography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.56 / $117.60 / $139.79
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.07 / $23.94 / $25.19
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$142.19 / $142.19 / $142.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.21 / $171.36 / $582.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.63 / $193.82 / $582.30
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.73 / $33.90 / $97.64
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.34 / $164.75 / $582.30
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.72 / $33.90 / $97.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.42 / $167.76 / $619.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.90 / $34.51 / $103.86