go back

Washington 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
$25.12 / $51.29 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $131.83 / $331.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $22.91 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $199.53 / $407.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.42 / $37.15 / $67.61
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.92 / $45.71 / $489.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $208.93 / $354.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $42.66 / $58.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $74.13
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.15 / $44.67 / $46.77
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $41.69 / $51.29
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.90 / $30.90 / $31.62
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $295.12 / $389.05
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $51.29 / $67.61
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$346.74 / $346.74 / $346.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $269.15 / $380.19
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $47.86 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $138.04 / $338.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.38 / $26.30 / $60.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $158.49 / $263.03
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $26.30 / $43.65