go back

Vermont rates for HCPCS 74400

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $128.82 / $190.55
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $22.91 / $48.98
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$141.25 / $141.25 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $173.78 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $34.67 / $74.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $588.84
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $24.55 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $158.49 / $467.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.12 / $32.36 / $79.43