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Wyoming rates for HCPCS 74400

Urography Iv W/Wo Kub W/Wo Tomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.89 / $21.89 / $22.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.56 / $113.56 / $165.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.37 / $21.07 / $25.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $575.00 / $575.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.00 / $98.00 / $98.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.30 / $154.55 / $307.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.30 / $36.33 / $64.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.46 / $223.91 / $364.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.46 / $43.47 / $74.79