go back

Washington rates for HCPCS 74400

Urography Iv W/Wo Kub W/Wo Tomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.84 / $51.73 / $84.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.04 / $144.05 / $304.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.30 / $25.84 / $51.79
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $102.96 / $110.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.44 / $328.82 / $1,172.70
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.49 / $56.76 / $192.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.62 / $212.95 / $442.17
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.33 / $42.52 / $69.87
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.70 / $53.06 / $490.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.20 / $226.35 / $359.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.77 / $51.55 / $64.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.45 / $163.00 / $277.62
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.38 / $44.92 / $46.90
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.50 / $39.86 / $48.30
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.80 / $30.80 / $31.53
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.68 / $312.39 / $379.61
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.09 / $53.37 / $65.69
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$346.39 / $346.39 / $851.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.81 / $277.43 / $372.50
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.64 / $47.46 / $64.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.04 / $152.83 / $355.76
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.89 / $27.45 / $66.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.38 / $153.38 / $153.38
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.79 / $23.79 / $23.79