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West 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
$22.38 / $22.38 / $22.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.56 / $132.86 / $140.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.96 / $21.07 / $48.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.74 / $25.74 / $25.74
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
$94.14 / $160.97 / $618.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.11 / $34.20 / $110.18
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.97 / $39.31 / $61.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.84 / $129.11 / $259.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.16 / $30.58 / $56.75