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Hawaii rates for HCPCS 74415

Urography, infusion, drip technique and/or bolus technique; with nephrotomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.99 / $26.06 / $30.66
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.26 / $26.26 / $26.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.98 / $27.25 / $31.79