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Pennsylvania rates for HCPCS 74410

Urography Infusion Drip &/Bolus Technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.32 / $29.81 / $71.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.12 / $126.20 / $159.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.12 / $104.58 / $132.38
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.76 / $138.81 / $221.86
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.61 / $114.78 / $184.85
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.26 / $26.26 / $26.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.95 / $138.94 / $245.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.23 / $112.43 / $203.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.77 / $180.43 / $217.51
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.38 / $164.80 / $234.70
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.32 / $41.74 / $72.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.05 / $135.02 / $254.05
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.51 / $113.03 / $212.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $134.31 / $252.35
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.99 / $26.26 / $26.26
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.22 / $138.44 / $228.74
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.75 / $111.88 / $190.97
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.59 / $22.59 / $26.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.00 / $135.44 / $147.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.50 / $112.85 / $124.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.03 / $134.65 / $230.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.11 / $112.92 / $190.94