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Maryland 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
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.02 / $38.02 / $38.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $25.70 / $35.48