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Illinois 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
$20.89 / $41.69 / $70.79
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $44.67 / $102.33
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00