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West Virginia rates for HCPCS 74400

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

Facilitymedian $22 · 10th–90th $7–$370%20%40%10th90th$22Professionalmedian $49 · 10th–90th $20–$1410%10%20%10th90th$49$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $120.23 / $151.36
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $22.91 / $51.29
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5.62 / $26.30 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $162.18 / $616.60
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $33.11 / $114.82
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $58.88 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $114.82 / $218.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $27.54 / $47.86